Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.20 / $18.94 / $21.75	Facility		$12.20	$18.94	$21.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.20 / $21.75 / $31.57	Professional		$12.20	$21.75	$31.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.63 / $16.63 / $18.47	Professional		$16.63	$16.63	$18.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.64 / $51.59 / $60.80	Facility		$27.64	$51.59	$60.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.01 / $44.22 / $60.80	Professional		$35.01	$44.22	$60.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.29 / $22.13 / $43.19	Facility		$18.29	$22.13	$43.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $22.13 / $170.92	Professional		$18.80	$22.13	$170.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.63 / $25.17 / $47.91	Professional		$20.63	$25.17	$47.91
United Facility/Professional Professional Modifier Low / Median / High Price $12.26 / $17.35 / $29.48	Professional		$12.26	$17.35	$29.48