Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.79 / $26.69 / $118.71	Facility		$10.79	$26.69	$118.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.16 / $21.09 / $24.55	Professional		$16.16	$21.09	$24.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $24.02 / $28.05	Facility		$15.14	$24.02	$28.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.21 / $10.68 / $19.59	Professional		$8.21	$10.68	$19.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.69 / $37.36 / $44.04	Facility		$26.69	$37.36	$44.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.56 / $34.70 / $53.38	Professional		$28.56	$34.70	$53.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.35 / $20.77 / $34.64	Facility		$17.35	$20.77	$34.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.95 / $30.02 / $128.65	Professional		$11.95	$30.02	$128.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.68 / $14.68 / $14.68	Professional		$14.68	$14.68	$14.68
United Facility/Professional Professional Modifier Low / Median / High Price $11.21 / $15.04 / $29.36	Professional		$11.21	$15.04	$29.36