Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $40.74 / $72.44	Facility		$23.99	$40.74	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $22.91 / $28.84	Professional		$19.95	$22.91	$28.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $15.85 / $16.60	Facility		$14.13	$15.85	$16.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $26.30 / $50.12	Professional		$12.02	$26.30	$50.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $36.31 / $41.69	Facility		$30.20	$36.31	$41.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $37.15 / $60.26	Professional		$30.20	$37.15	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $44.67 / $50.12	Facility		$19.50	$44.67	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $147.91 / $147.91	Professional		$22.91	$147.91	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $32.36 / $33.11	Professional		$16.60	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $17.78 / $33.11	Professional		$11.48	$17.78	$33.11