Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $26.92 / $120.23	Facility		$15.85	$26.92	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.14 / $18.20	Professional		$12.88	$15.14	$18.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $19.50 / $20.42	Facility		$16.60	$19.50	$20.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $19.05	Professional		$9.55	$9.55	$19.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $23.44 / $27.54	Facility		$19.50	$23.44	$27.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $24.55 / $38.90	Professional		$19.50	$24.55	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $57.54 / $57.54	Facility		$12.59	$57.54	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $93.33 / $93.33	Professional		$11.75	$93.33	$93.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Professional		$10.72	$10.72	$10.72
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $16.22 / $27.54	Professional		$8.13	$16.22	$27.54