Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.77 / $12.77 / $18.88	Facility		$12.77	$12.77	$18.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $16.98 / $18.88	Professional		$12.77	$16.98	$18.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.02 / $23.02	Professional		$19.05	$23.02	$23.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $22.94 / $46.14	Facility		$3.00	$22.94	$46.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $26.83 / $45.18	Professional		$3.13	$26.83	$45.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.13 / $20.13 / $33.15	Facility		$20.13	$20.13	$33.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.11 / $20.13 / $138.96	Professional		$17.11	$20.13	$138.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $22.65 / $23.78	Professional		$18.57	$22.65	$23.78
United Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $15.65 / $23.13	Professional		$9.63	$15.65	$23.13