Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.35 / $15.17 / $93.71	Facility		$13.35	$15.17	$93.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $16.16 / $22.07	Professional		$13.54	$16.16	$22.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.86 / $18.48 / $23.76	Professional		$13.86	$18.48	$23.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.72 / $22.79 / $30.04	Facility		$20.72	$22.79	$30.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.01 / $24.66 / $32.36	Professional		$21.01	$24.66	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.26 / $36.26 / $65.00	Facility		$36.26	$36.26	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.97 / $26.88 / $62.37	Professional		$12.97	$26.88	$62.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.24 / $32.34 / $32.34	Professional		$14.24	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $21.79 / $26.42	Professional		$19.14	$21.79	$26.42