Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $53.70 / $123.03	Facility		$32.36	$53.70	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.90 / $37.15	Professional		$25.70	$30.90	$37.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $38.90 / $40.74	Facility		$32.36	$38.90	$40.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.05 / $35.48	Professional		$15.49	$19.05	$35.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $46.77 / $54.95	Facility		$38.90	$46.77	$54.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $48.98 / $77.62	Professional		$38.90	$48.98	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $63.10 / $63.10	Facility		$25.70	$63.10	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $190.55 / $190.55	Professional		$17.78	$190.55	$190.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $21.38 / $41.69	Professional		$16.60	$21.38	$41.69