Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.53 / $39.95 / $129.32	Facility		$12.53	$39.95	$129.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.54 / $13.76 / $13.88	Professional		$12.54	$13.76	$13.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.52 / $13.76 / $16.07	Facility		$9.52	$13.76	$16.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.50 / $7.55 / $15.15	Professional		$6.50	$7.55	$15.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.29 / $18.35 / $21.41	Facility		$15.29	$18.35	$21.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $18.50 / $30.58	Professional		$15.29	$18.50	$30.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $11.90 / $32.50	Facility		$9.94	$11.90	$32.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $17.35 / $88.13	Professional		$7.76	$17.35	$88.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $8.41 / $8.41	Professional		$8.41	$8.41	$8.41
United Facility/Professional Professional Modifier Low / Median / High Price $6.12 / $11.80 / $21.38	Professional		$6.12	$11.80	$21.38