Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.22 / $22.08 / $25.35	Facility		$14.22	$22.08	$25.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $26.17 / $36.79	Professional		$14.22	$26.17	$36.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $21.53 / $23.06	Professional		$21.53	$21.53	$23.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.22 / $60.14 / $70.88	Facility		$32.22	$60.14	$70.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.81 / $51.55 / $70.88	Professional		$40.81	$51.55	$70.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.81 / $25.81 / $50.34	Facility		$25.81	$25.81	$50.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $25.81 / $207.79	Professional		$21.94	$25.81	$207.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $30.75 / $55.85	Professional		$25.21	$30.75	$55.85
United Facility/Professional Professional Modifier Low / Median / High Price $14.29 / $20.39 / $28.32	Professional		$14.29	$20.39	$28.32