Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.73 / $10.68 / $18.16	Facility		$9.73	$10.68	$18.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.67 / $10.68 / $13.80	Professional		$10.67	$10.68	$13.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.08 / $12.59 / $21.36	Facility		$12.08	$12.59	$21.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $10.68 / $10.68	Professional		$10.68	$10.68	$10.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $12.82 / $17.09	Facility		$10.68	$12.82	$17.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $11.75 / $16.45	Professional		$10.68	$11.75	$16.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $85.00 / $85.00	Facility		$10.68	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $10.68 / $48.83	Professional		$10.68	$10.68	$48.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $10.19 / $13.26	Professional		$10.11	$10.19	$13.26
United Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $11.32 / $11.89	Professional		$10.68	$11.32	$11.89