Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $28.18 / $28.18	Facility		$26.92	$28.18	$28.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.18 / $138.04	Professional		$25.12	$28.18	$138.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $89.13 / $109.65	Professional		$75.86	$89.13	$109.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $30.20 / $41.69	Facility		$24.55	$30.20	$41.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $32.36 / $41.69	Professional		$26.30	$32.36	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $72.44 / $138.04	Professional		$24.55	$72.44	$138.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $44.67 / $67.61	Professional		$35.48	$44.67	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $52.48	Professional		$23.99	$32.36	$52.48