Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.07 / $94.21 / $176.72	Facility		$20.07	$94.21	$176.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.01 / $23.04 / $23.38	Professional		$17.01	$23.04	$23.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $23.23 / $27.13	Facility		$16.07	$23.23	$27.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $12.74 / $21.47	Professional		$12.74	$12.74	$21.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.81 / $30.97 / $36.29	Facility		$25.81	$30.97	$36.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.81 / $31.23 / $51.62	Professional		$25.81	$31.23	$51.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.78 / $20.07 / $50.00	Facility		$16.78	$20.07	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.04 / $29.74 / $189.39	Professional		$13.04	$29.74	$189.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $14.20 / $14.20	Professional		$14.20	$14.20	$14.20
United Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $18.14 / $33.38	Professional		$10.84	$18.14	$33.38