Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.52 / $13.21 / $20.50	Facility		$9.52	$13.21	$20.50
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $26.59 / $86.09 / $141.93	Facility	CQ	$26.59	$86.09	$141.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.31 / $9.71 / $17.64	Professional		$8.31	$9.71	$17.64
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $13.78 / $14.02 / $30.44	Professional	CQ	$13.78	$14.02	$30.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.94 / $12.15 / $18.00	Facility		$10.94	$12.15	$18.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.88 / $9.00 / $16.70	Professional		$6.88	$9.00	$16.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.05 / $15.01 / $18.64	Facility		$13.05	$15.01	$18.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $15.19 / $18.63	Professional		$13.05	$15.19	$18.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $65.00 / $82.00	Facility		$16.00	$65.00	$82.00
Cigna Facility/Professional Facility Modifier CQ Low / Median / High Price $13.31 / $13.31 / $13.31	Facility	CQ	$13.31	$13.31	$13.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $17.39 / $108.10	Professional		$8.88	$17.39	$108.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $32.34 / $32.34	Professional		$7.02	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.48 / $14.87	Professional		$9.77	$12.48	$14.87