Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $33.11 / $57.54	Facility		$19.05	$33.11	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $28.84	Professional		$15.85	$19.05	$28.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $23.99 / $25.12	Facility		$19.95	$23.99	$25.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $24.55	Professional		$9.55	$9.55	$24.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $28.84 / $33.88	Facility		$23.99	$28.84	$33.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.84 / $39.81	Professional		$23.99	$28.84	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $38.90 / $39.81	Facility		$15.49	$38.90	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $114.82 / $114.82	Professional		$10.96	$114.82	$114.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $14.79 / $26.30	Professional		$9.77	$14.79	$26.30