Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $21.05 / $118.54	Facility		$12.60	$21.05	$118.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.44 / $24.52	Professional		$21.05	$21.44	$24.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.59 / $23.99 / $28.01	Facility		$16.59	$23.99	$28.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.15 / $16.89 / $27.86	Professional		$12.15	$16.89	$27.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.65 / $37.31 / $43.97	Facility		$26.65	$37.31	$43.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $34.65 / $53.30	Professional		$28.52	$34.65	$53.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.32 / $20.74 / $44.61	Facility		$17.32	$20.74	$44.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $30.56 / $156.08	Professional		$12.55	$30.56	$156.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.66 / $14.66 / $14.66	Professional		$14.66	$14.66	$14.66
United Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $20.62 / $32.00	Professional		$11.19	$20.62	$32.00