Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.57 / $15.21 / $30.29	Facility		$8.57	$15.21	$30.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.65 / $12.90 / $18.68	Professional		$8.65	$12.90	$18.68
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $11.70 / $11.70 / $11.70	Professional	CQ	$11.70	$11.70	$11.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.24 / $13.59 / $20.14	Facility		$12.24	$13.59	$20.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.55 / $11.10 / $23.49	Professional		$8.55	$11.10	$23.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $15.51 / $19.21	Facility		$13.49	$15.51	$19.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $15.65 / $19.55	Professional		$13.49	$15.65	$19.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.88 / $65.00 / $82.00	Facility		$20.88	$65.00	$82.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.92 / $22.97 / $108.10	Professional		$9.92	$22.97	$108.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.49 / $32.34 / $32.34	Professional		$8.49	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $11.63 / $13.87 / $20.55	Professional		$11.63	$13.87	$20.55