Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $30.94 / $167.80	Facility		$12.05	$30.94	$167.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $30.18 / $37.72	Professional		$12.05	$30.18	$37.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.82 / $33.96 / $39.65	Facility		$4.82	$33.96	$39.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.82 / $12.05	Professional		$4.09	$4.82	$12.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.72 / $52.82 / $62.25	Facility		$37.72	$52.82	$62.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.36 / $49.05 / $75.45	Professional		$40.36	$49.05	$75.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.52 / $28.79 / $45.28	Facility		$24.52	$28.79	$45.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $43.37 / $181.86	Professional		$7.83	$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 $6.30 / $7.23 / $18.87	Professional		$6.30	$7.23	$18.87