Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.58 / $16.07 / $27.34	Facility		$15.58	$16.07	$27.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $16.07	Professional		$16.07	$16.07	$16.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.96 / $32.15	Facility		$18.20	$18.96	$32.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.66 / $16.07 / $16.07	Professional		$13.66	$16.07	$16.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $17.57 / $25.73	Facility		$16.07	$17.57	$25.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $17.69 / $24.76	Professional		$16.07	$17.69	$24.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $16.07 / $85.00	Facility		$16.07	$16.07	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $17.94 / $99.76	Professional		$16.07	$17.94	$99.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $17.22	Professional		$16.07	$16.07	$17.22