Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.97 / $16.57 / $89.96	Facility		$15.97	$16.57	$89.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.97 / $16.57 / $20.22	Professional		$15.97	$16.57	$20.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $18.20 / $21.25	Facility		$12.59	$18.20	$21.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $10.81 / $22.90	Professional		$9.99	$10.81	$22.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.22 / $28.31 / $33.36	Facility		$20.22	$28.31	$33.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $26.29 / $40.44	Professional		$21.64	$26.29	$40.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.14 / $15.73 / $36.67	Facility		$13.14	$15.73	$36.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $23.54 / $130.37	Professional		$10.24	$23.54	$130.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $11.12 / $11.12	Professional		$11.12	$11.12	$11.12
United Facility/Professional Professional Modifier Low / Median / High Price $8.49 / $16.51 / $28.24	Professional		$8.49	$16.51	$28.24