Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.27 / $14.99 / $112.11	Facility		$12.27	$14.99	$112.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.44 / $14.99 / $16.82	Professional		$14.44	$14.99	$16.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.38 / $16.45 / $19.21	Facility		$11.38	$16.45	$19.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $15.20 / $20.72	Professional		$9.02	$15.20	$20.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.28 / $25.59 / $30.16	Facility		$18.28	$25.59	$30.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $23.76 / $36.56	Professional		$19.55	$23.76	$36.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.88 / $14.22 / $33.15	Facility		$11.88	$14.22	$33.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.25 / $21.06 / $117.52	Professional		$9.25	$21.06	$117.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.05 / $10.05 / $10.05	Professional		$10.05	$10.05	$10.05
United Facility/Professional Professional Modifier Low / Median / High Price $7.31 / $14.93 / $24.90	Professional		$7.31	$14.93	$24.90