Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.74 / $17.37 / $97.80	Facility		$13.74	$17.37	$97.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.37 / $18.03 / $21.99	Professional		$17.37	$18.03	$21.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.69 / $19.79 / $23.11	Facility		$13.69	$19.79	$23.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.86 / $10.86 / $21.79	Professional		$10.86	$10.86	$21.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.99 / $30.79 / $36.28	Facility		$21.99	$30.79	$36.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.53 / $28.59 / $43.98	Professional		$23.53	$28.59	$43.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.29 / $17.11 / $39.86	Facility		$14.29	$17.11	$39.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $25.19 / $141.38	Professional		$11.23	$25.19	$141.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $12.09 / $12.09	Professional		$12.09	$12.09	$12.09
United Facility/Professional Facility Modifier Low / Median / High Price $21.99 / $21.99 / $21.99	Facility		$21.99	$21.99	$21.99
United Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $18.43 / $30.71	Professional		$9.24	$18.43	$30.71