Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.16 / $45.48 / $195.50	Facility		$21.16	$45.48	$195.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $23.34 / $46.68	Professional		$21.42	$23.34	$46.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.67 / $24.10 / $28.15	Facility		$16.67	$24.10	$28.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.09 / $13.22 / $33.18	Professional		$13.09	$13.22	$33.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.78 / $37.49 / $44.19	Facility		$26.78	$37.49	$44.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.65 / $34.81 / $53.56	Professional		$28.65	$34.81	$53.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.41 / $20.44 / $63.80	Facility		$17.41	$20.44	$63.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $30.98 / $129.08	Professional		$13.54	$30.98	$129.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $14.73	Professional		$14.73	$14.73	$14.73
United Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $22.45 / $37.40	Professional		$11.25	$22.45	$37.40