Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.13 / $12.74 / $29.75	Facility		$12.13	$12.74	$29.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.13 / $12.64 / $14.14	Professional		$12.13	$12.64	$14.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $37.69 / $37.69	Facility		$34.67	$37.69	$37.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $14.00 / $30.15	Professional		$11.90	$14.00	$30.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.63 / $12.01 / $20.93	Facility		$11.63	$12.01	$20.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $11.43 / $11.63	Professional		$9.89	$11.43	$11.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.15 / $30.15 / $85.00	Facility		$30.15	$30.15	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.15 / $30.15 / $63.91	Professional		$30.15	$30.15	$63.91
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 $17.50 / $17.50 / $17.50	Professional		$17.50	$17.50	$17.50