Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.81 / $113.19 / $138.65	Facility		$29.81	$113.19	$138.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $33.95 / $34.21	Professional		$30.18	$33.95	$34.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.49 / $33.96 / $39.65	Facility		$23.49	$33.96	$39.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.63 / $18.63 / $32.06	Professional		$18.63	$18.63	$32.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.72 / $45.28 / $53.10	Facility		$37.72	$45.28	$53.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $45.65 / $75.45	Professional		$37.72	$45.65	$75.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.52 / $28.79 / $89.90	Facility		$24.52	$28.79	$89.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $43.37 / $181.86	Professional		$19.14	$43.37	$181.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.75 / $20.75 / $20.75	Professional		$20.75	$20.75	$20.75
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $31.62 / $60.44	Professional		$15.85	$31.62	$60.44