Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.98 / $19.36 / $109.03	Facility		$5.98	$19.36	$109.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.36 / $21.36 / $22.55	Professional		$19.36	$21.36	$22.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.26 / $22.06 / $25.76	Facility		$15.26	$22.06	$25.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $17.36 / $27.76	Professional		$12.10	$17.36	$27.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.51 / $34.31 / $40.44	Facility		$24.51	$34.31	$40.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.23 / $31.86 / $49.02	Professional		$26.23	$31.86	$49.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.93 / $19.07 / $44.43	Facility		$15.93	$19.07	$44.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $28.08 / $156.08	Professional		$12.38	$28.08	$156.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.48 / $13.48 / $13.48	Professional		$13.48	$13.48	$13.48
United Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $20.54 / $34.22	Professional		$10.29	$20.54	$34.22