Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $31.56 / $32.72	Facility		$17.89	$31.56	$32.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.74 / $28.14 / $32.72	Professional		$24.74	$28.14	$32.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.22 / $61.41 / $64.54	Facility		$38.22	$61.41	$64.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.35 / $28.83 / $29.46	Professional		$25.35	$28.83	$29.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.06 / $82.90 / $103.24	Facility		$46.06	$82.90	$103.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.34 / $73.69 / $101.33	Professional		$58.34	$73.69	$101.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.92 / $31.92 / $71.95	Facility		$31.92	$31.92	$71.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.30 / $31.92 / $266.50	Professional		$23.30	$31.92	$266.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.08 / $39.13 / $48.91	Professional		$32.08	$39.13	$48.91
United Facility/Professional Professional Modifier Low / Median / High Price $18.92 / $27.68 / $40.47	Professional		$18.92	$27.68	$40.47