Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $25.12 / $46.77	Facility		$15.14	$25.12	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.14 / $22.91	Professional		$14.13	$15.14	$22.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $19.50 / $20.42	Facility		$16.60	$19.50	$20.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $26.92	Professional		$9.55	$9.55	$26.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $23.44 / $26.92	Facility		$19.50	$23.44	$26.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $23.99 / $38.90	Professional		$19.50	$23.99	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $40.74 / $40.74	Facility		$12.59	$40.74	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $128.82 / $128.82	Professional		$11.48	$128.82	$128.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Professional		$10.72	$10.72	$10.72
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $16.22 / $26.92	Professional		$8.13	$16.22	$26.92