Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $25.42 / $26.36	Facility		$17.98	$25.42	$26.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.84 / $29.19 / $35.42	Professional		$21.84	$29.19	$35.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.79 / $49.46 / $51.98	Facility		$30.79	$49.46	$51.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.61 / $28.96 / $32.17	Professional		$24.61	$28.96	$32.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.10 / $69.73 / $105.72	Facility		$37.10	$69.73	$105.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $49.46 / $66.77 / $92.32	Professional		$49.46	$66.77	$92.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.91 / $30.91 / $64.69	Facility		$30.91	$30.91	$64.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.56 / $30.91 / $271.13	Professional		$22.56	$30.91	$271.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.84 / $31.52 / $39.40	Professional		$25.84	$31.52	$39.40
United Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $24.67 / $39.57	Professional		$16.45	$24.67	$39.57