Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.45 / $28.84	Facility		$14.13	$14.45	$28.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $26.92	Professional		$14.13	$14.13	$26.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.98 / $24.55	Facility		$16.22	$16.98	$24.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $4.17 / $6.76	Facility		$4.17	$4.17	$6.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.37 / $6.03	Professional		$4.17	$4.37	$6.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $85.11 / $85.11	Facility		$14.45	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $151.36	Professional		$14.45	$14.45	$151.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $14.45 / $18.62	Professional		$4.17	$14.45	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $15.14 / $16.22	Professional		$14.45	$15.14	$16.22