Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.59 / $34.77 / $66.11	Facility		$21.59	$34.77	$66.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $25.11 / $34.77	Professional		$15.84	$25.11	$34.77
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $155.47 / $155.47 / $155.47	Professional	CQ	$155.47	$155.47	$155.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $34.43 / $51.00	Facility		$30.98	$34.43	$51.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $23.54 / $38.76	Professional		$19.88	$23.54	$38.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.97 / $39.08 / $48.61	Facility		$33.97	$39.08	$48.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.97 / $39.99 / $49.27	Professional		$33.97	$39.99	$49.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.84 / $65.00 / $82.00	Facility		$43.84	$65.00	$82.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.78 / $49.60 / $114.34	Professional		$23.78	$49.60	$114.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.07 / $32.34 / $32.34	Professional		$14.07	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $27.14 / $33.15 / $40.72	Professional		$27.14	$33.15	$40.72