Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.75 / $27.77 / $150.62	Facility		$26.75	$27.77	$150.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.75 / $27.77 / $33.86	Professional		$26.75	$27.77	$33.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.08 / $30.47 / $35.59	Facility		$21.08	$30.47	$35.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.45 / $13.54 / $24.85	Professional		$12.45	$13.54	$24.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.86 / $47.40 / $55.87	Facility		$33.86	$47.40	$55.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $44.02 / $67.72	Professional		$36.22	$44.02	$67.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.01 / $25.84 / $45.01	Facility		$22.01	$25.84	$45.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.52 / $38.09 / $163.21	Professional		$15.52	$38.09	$163.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $20.81 / $40.63	Professional		$14.22	$20.81	$40.63