Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.30 / $26.20 / $174.80	Facility		$6.30	$26.20	$174.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $14.68 / $16.47	Professional		$13.24	$14.68	$16.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.14 / $16.11 / $18.80	Facility		$11.14	$16.11	$18.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.63 / $8.84 / $17.73	Professional		$6.63	$8.84	$17.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $25.06 / $29.54	Facility		$17.89	$25.06	$29.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $23.27 / $35.79	Professional		$19.14	$23.27	$35.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.64 / $13.67 / $33.86	Facility		$11.64	$13.67	$33.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $20.65 / $96.19	Professional		$9.08	$20.65	$96.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $9.85 / $9.85	Professional		$9.85	$9.85	$9.85
United Facility/Professional Professional Modifier Low / Median / High Price $7.16 / $15.01 / $25.02	Professional		$7.16	$15.01	$25.02