Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $18.20	Facility		$11.75	$11.75	$18.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $23.99	Professional		$15.14	$18.20	$23.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $7.08 / $8.51	Professional		$4.47	$7.08	$8.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $56.23	Facility		$19.05	$19.05	$56.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $56.23	Professional		$19.05	$19.05	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $194.98 / $194.98	Professional		$19.95	$194.98	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $9.33 / $44.67	Professional		$7.24	$9.33	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.91 / $41.69	Professional		$16.98	$22.91	$41.69