Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.13 / $20.39 / $23.42	Facility		$13.13	$20.39	$23.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.13 / $23.08 / $33.99	Professional		$13.13	$23.08	$33.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $17.89 / $19.88	Professional		$17.89	$17.89	$19.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.76 / $55.55 / $65.47	Facility		$29.76	$55.55	$65.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.70 / $47.62 / $65.47	Professional		$37.70	$47.62	$65.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.37 / $19.37 / $46.50	Facility		$19.37	$19.37	$46.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $19.37 / $53.01	Professional		$16.19	$19.37	$53.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.21 / $27.09 / $51.58	Professional		$22.21	$27.09	$51.58
United Facility/Professional Professional Modifier Low / Median / High Price $12.68 / $19.38 / $28.04	Professional		$12.68	$19.38	$28.04