Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.19 / $17.84 / $96.80	Facility		$17.19	$17.84	$96.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.19 / $17.84 / $21.76	Professional		$17.19	$17.84	$21.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.73 / $19.57 / $22.87	Facility		$9.73	$19.57	$22.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.87 / $10.09 / $13.06	Professional		$5.87	$10.09	$13.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.76 / $30.46 / $35.90	Facility		$21.76	$30.46	$35.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.28 / $28.29 / $43.52	Professional		$23.28	$28.29	$43.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.14 / $16.60 / $26.11	Facility		$14.14	$16.60	$26.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.03 / $23.46 / $104.88	Professional		$8.03	$23.46	$104.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $11.97 / $11.97	Professional		$11.97	$11.97	$11.97
United Facility/Professional Professional Modifier Low / Median / High Price $9.14 / $10.13 / $23.94	Professional		$9.14	$10.13	$23.94