Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.44 / $17.05 / $92.57	Facility		$16.44	$17.05	$92.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.44 / $17.05 / $20.81	Professional		$16.44	$17.05	$20.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.95 / $18.73 / $21.87	Facility		$12.95	$18.73	$21.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $5.67 / $10.28	Professional		$4.25	$5.67	$10.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $29.13 / $34.34	Facility		$20.81	$29.13	$34.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.27 / $27.05 / $41.62	Professional		$22.27	$27.05	$41.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.53 / $15.88 / $49.61	Facility		$13.53	$15.88	$49.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $24.97 / $100.30	Professional		$10.57	$24.97	$100.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.45 / $11.45 / $11.45	Professional		$11.45	$11.45	$11.45
United Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $16.98 / $29.81	Professional		$8.74	$16.98	$29.81