Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.88 / $35.18 / $36.47	Facility		$24.88	$35.18	$36.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $35.18 / $38.07	Professional		$30.23	$35.18	$38.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.61 / $68.45 / $71.94	Facility		$42.61	$68.45	$71.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.01 / $40.08 / $41.54	Professional		$32.01	$40.08	$41.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.34 / $95.83 / $112.94	Facility		$51.34	$95.83	$112.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.45 / $85.56 / $112.94	Professional		$68.45	$85.56	$112.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.77 / $42.77 / $89.91	Facility		$42.77	$42.77	$89.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $42.77 / $376.83	Professional		$31.22	$42.77	$376.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $43.62 / $54.52	Professional		$35.76	$43.62	$54.52
United Facility/Professional Facility Modifier Low / Median / High Price $28.94 / $33.85 / $39.84	Facility		$28.94	$33.85	$39.84
United Facility/Professional Professional Modifier Low / Median / High Price $22.77 / $34.15 / $45.73	Professional		$22.77	$34.15	$45.73