Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $28.18	Facility		$14.13	$14.13	$28.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $19.05	Professional		$14.13	$14.13	$19.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.98 / $26.92	Facility		$16.22	$16.98	$26.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $22.91	Facility		$14.45	$14.45	$22.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $15.14 / $20.89	Professional		$14.45	$15.14	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $20.89 / $20.89	Facility		$14.13	$20.89	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $60.26	Professional		$14.13	$14.13	$60.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.45 / $18.62	Professional		$14.13	$14.45	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.14 / $15.85	Professional		$14.13	$15.14	$15.85