Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.32 / $177.83 / $404.25	Facility		$30.32	$177.83	$404.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $23.94 / $32.40	Professional		$20.89	$23.94	$32.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.30 / $15.30 / $15.30	Facility		$15.30	$15.30	$15.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $13.99 / $25.10	Professional		$13.99	$13.99	$25.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.67 / $29.34 / $38.78	Facility		$26.67	$29.34	$38.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.67 / $32.22 / $53.34	Professional		$26.67	$32.22	$53.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.81 / $1.64 / $46.60	Facility		$0.81	$1.64	$46.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.63 / $25.00 / $146.58	Professional		$14.63	$25.00	$146.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $17.07 / $39.43	Professional		$12.77	$17.07	$39.43