Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $25.12 / $45.71	Facility		$18.62	$25.12	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $34.67	Professional		$18.20	$21.88	$34.67
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $38.02 / $38.02 / $38.02	Professional	CQ	$38.02	$38.02	$38.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $37.15	Facility		$25.12	$25.12	$37.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $20.42 / $28.18	Professional		$15.85	$20.42	$28.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $34.67 / $45.71	Facility		$28.84	$34.67	$45.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $36.31 / $45.71	Professional		$24.55	$36.31	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $50.12 / $75.86	Facility		$44.67	$50.12	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $35.48 / $147.91	Professional		$17.38	$35.48	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $32.36 / $33.11	Professional		$12.88	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $28.18 / $35.48	Professional		$23.44	$28.18	$35.48