Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.76 / $29.30 / $30.39	Facility		$17.76	$29.30	$30.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.18 / $29.30 / $33.46	Professional		$25.18	$29.30	$33.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.49 / $57.01 / $59.92	Facility		$35.49	$57.01	$59.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.99 / $27.66 / $32.82	Professional		$25.99	$27.66	$32.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.76 / $79.39 / $91.31	Facility		$42.76	$79.39	$91.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.16 / $70.89 / $94.07	Professional		$54.16	$70.89	$94.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.22 / $33.22 / $66.80	Facility		$33.22	$33.22	$66.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.25 / $33.22 / $271.94	Professional		$24.25	$33.22	$271.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.23 / $33.25 / $39.98	Professional		$26.23	$33.25	$39.98
United Facility/Professional Professional Modifier Low / Median / High Price $18.96 / $27.38 / $38.67	Professional		$18.96	$27.38	$38.67