Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.04 / $37.60 / $211.67	Facility		$24.04	$37.60	$211.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $39.02 / $47.59	Professional		$37.60	$39.02	$47.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.62 / $42.83 / $50.02	Facility		$29.62	$42.83	$50.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $39.52 / $53.93	Professional		$23.50	$39.52	$53.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.59 / $66.63 / $78.52	Facility		$47.59	$66.63	$78.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.92 / $61.87 / $95.18	Professional		$50.92	$61.87	$95.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.93 / $37.03 / $62.79	Facility		$30.93	$37.03	$62.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.27 / $54.52 / $304.82	Professional		$24.27	$54.52	$304.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.17 / $26.17 / $26.17	Professional		$26.17	$26.17	$26.17
United Facility/Professional Professional Modifier Low / Median / High Price $19.04 / $39.89 / $66.48	Professional		$19.04	$39.89	$66.48