Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.71 / $25.45 / $114.45	Facility		$17.71	$25.45	$114.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $20.36 / $25.45	Professional		$10.34	$20.36	$25.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.18 / $22.91 / $26.75	Facility		$10.18	$22.91	$26.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.65 / $10.18 / $17.55	Professional		$8.65	$10.18	$17.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.45 / $30.54 / $35.86	Facility		$25.45	$30.54	$35.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $30.80 / $50.90	Professional		$25.45	$30.80	$50.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.54 / $19.42 / $60.64	Facility		$16.54	$19.42	$60.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $29.32 / $122.67	Professional		$16.54	$29.32	$122.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $14.00 / $14.00	Professional		$14.00	$14.00	$14.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $15.27 / $30.54	Professional		$10.69	$15.27	$30.54