Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.01 / $21.38 / $291.00	Facility		$17.01	$21.38	$291.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.86 / $22.72 / $23.64	Professional		$20.86	$22.72	$23.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.23 / $23.46 / $27.40	Facility		$16.23	$23.46	$27.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $12.87 / $25.84	Professional		$12.33	$12.87	$25.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.07 / $36.50 / $43.02	Facility		$26.07	$36.50	$43.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.89 / $33.89 / $52.14	Professional		$27.89	$33.89	$52.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.95 / $20.29 / $49.73	Facility		$16.95	$20.29	$49.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.21 / $29.32 / $168.93	Professional		$13.21	$29.32	$168.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $14.34 / $14.34	Professional		$14.34	$14.34	$14.34
United Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $21.29 / $36.42	Professional		$10.95	$21.29	$36.42