Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $12.59 / $21.38	Facility		$7.94	$12.59	$21.38
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $70.79 / $70.79 / $74.13	Facility	CQ	$70.79	$70.79	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.00 / $23.44	Professional		$7.94	$10.00	$23.44
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $7.94 / $23.99 / $26.30	Professional	CQ	$7.94	$23.99	$26.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $19.95	Facility		$13.49	$13.49	$19.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.75 / $19.05	Professional		$11.48	$11.75	$19.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $15.49 / $17.38	Facility		$11.48	$15.49	$17.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.45 / $18.62	Professional		$11.75	$14.45	$18.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $19.50 / $19.50	Facility		$14.45	$19.50	$19.50
Cigna Facility/Professional Facility Modifier CQ Low / Median / High Price $16.60 / $16.60 / $16.60	Facility	CQ	$16.60	$16.60	$16.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $58.88	Professional		$11.22	$11.22	$58.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $13.80 / $24.55	Professional		$9.77	$13.80	$24.55