Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.75 / $14.70 / $111.43	Facility		$12.75	$14.70	$111.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $15.01 / $20.52	Professional		$12.75	$15.01	$20.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $17.91 / $23.03	Professional		$13.43	$17.91	$23.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.07 / $22.09 / $29.12	Facility		$20.07	$22.09	$29.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $24.07 / $30.92	Professional		$20.07	$24.07	$30.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.81 / $23.81 / $65.00	Facility		$23.81	$23.81	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $25.93 / $60.43	Professional		$11.34	$25.93	$60.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $32.34 / $32.34	Professional		$8.13	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $20.84 / $26.00	Professional		$18.30	$20.84	$26.00