Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.71 / $21.30 / $98.68	Facility		$10.71	$21.30	$98.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $13.03 / $21.30	Professional		$10.71	$13.03	$21.30
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $11.51 / $12.05 / $28.25	Professional	CQ	$11.51	$12.05	$28.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.95 / $21.06 / $31.20	Facility		$18.95	$21.06	$31.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.42 / $12.84 / $21.69	Professional		$10.42	$12.84	$21.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.48 / $18.95 / $23.51	Facility		$16.48	$18.95	$23.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $19.19 / $23.90	Professional		$16.48	$19.19	$23.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.96 / $65.00 / $82.00	Facility		$22.96	$65.00	$82.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.43 / $25.08 / $106.98	Professional		$11.43	$25.08	$106.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $32.34 / $32.34	Professional		$10.32	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $16.32 / $22.34	Professional		$14.18	$16.32	$22.34