Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.63 / $23.45 / $131.99	Facility		$11.63	$23.45	$131.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.45 / $24.34 / $29.68	Professional		$23.45	$24.34	$29.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.48 / $26.71 / $31.19	Facility		$18.48	$26.71	$31.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.66 / $24.64 / $33.63	Professional		$14.66	$24.64	$33.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.68 / $41.55 / $48.97	Facility		$29.68	$41.55	$48.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.76 / $38.58 / $59.36	Professional		$31.76	$38.58	$59.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.29 / $23.09 / $70.77	Facility		$19.29	$23.09	$70.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.03 / $34.28 / $190.96	Professional		$15.03	$34.28	$190.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $16.32 / $16.32	Professional		$16.32	$16.32	$16.32
United Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $24.23 / $41.47	Professional		$9.74	$24.23	$41.47