Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.66 / $50.51 / $173.97	Facility		$9.66	$50.51	$173.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $32.07 / $39.11	Professional		$30.90	$32.07	$39.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.65 / $35.20 / $41.10	Facility		$21.65	$35.20	$41.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.35 / $19.14 / $30.03	Professional		$14.35	$19.14	$30.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.11 / $54.75 / $64.53	Facility		$39.11	$54.75	$64.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.85 / $50.84 / $78.22	Professional		$41.85	$50.84	$78.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.42 / $30.43 / $50.76	Facility		$25.42	$30.43	$50.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $43.99 / $188.51	Professional		$17.07	$43.99	$188.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.51 / $21.51 / $21.51	Professional		$21.51	$21.51	$21.51
United Facility/Professional Professional Modifier Low / Median / High Price $15.64 / $21.51 / $43.02	Professional		$15.64	$21.51	$43.02