Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.46 / $16.22 / $27.57	Facility		$14.46	$16.22	$27.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $17.03	Professional		$16.22	$16.22	$17.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.36 / $19.13 / $27.74	Facility		$18.36	$19.13	$27.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $17.02 / $25.95	Facility		$16.22	$17.02	$25.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $17.03 / $24.98	Professional		$16.22	$17.03	$24.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $85.00	Facility		$16.22	$16.22	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $90.35	Professional		$16.22	$16.22	$90.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.80 / $14.80 / $14.80	Professional		$14.80	$14.80	$14.80
United Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $16.22 / $16.22	Professional		$6.49	$16.22	$16.22