Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.02 / $36.99 / $123.35	Facility		$19.02	$36.99	$123.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.41 / $19.26 / $24.08	Professional		$17.41	$19.26	$24.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.99 / $24.08 / $34.11	Facility		$14.99	$24.08	$34.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $34.11 / $34.11	Professional		$8.61	$34.11	$34.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.08 / $28.90 / $33.71	Facility		$24.08	$28.90	$33.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.08 / $28.90 / $48.16	Professional		$24.08	$28.90	$48.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.65 / $18.37 / $51.70	Facility		$15.65	$18.37	$51.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.66 / $31.41 / $116.07	Professional		$12.66	$31.41	$116.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $13.24 / $13.24	Professional		$13.24	$13.24	$13.24
United Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $19.82 / $33.03	Professional		$10.11	$19.82	$33.03