Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.80 / $34.58 / $195.94	Facility		$5.80	$34.58	$195.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.96 / $23.92 / $24.28	Professional		$21.96	$23.92	$24.28
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 $13.22 / $13.22 / $26.53	Professional		$13.22	$13.22	$26.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.78 / $32.14 / $37.68	Facility		$26.78	$32.14	$37.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $32.40 / $53.56	Professional		$26.78	$32.40	$53.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.41 / $20.84 / $63.80	Facility		$17.41	$20.84	$63.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $30.98 / $172.61	Professional		$13.54	$30.98	$172.61
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 / $21.86 / $37.40	Professional		$11.25	$21.86	$37.40