Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.97 / $19.80 / $20.53	Facility		$3.97	$19.80	$20.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.01 / $19.80 / $20.58	Professional		$17.01	$19.80	$20.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.97 / $38.51 / $40.47	Facility		$23.97	$38.51	$40.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.02 / $18.68 / $20.03	Professional		$18.02	$18.68	$20.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.88 / $53.63 / $61.64	Facility		$28.88	$53.63	$61.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.58 / $47.89 / $63.54	Professional		$36.58	$47.89	$63.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $45.13	Facility		$21.38	$21.38	$45.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $21.38 / $183.64	Professional		$15.61	$21.38	$183.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.65 / $27.65 / $35.07	Professional		$27.65	$27.65	$35.07
United Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $17.37 / $25.39	Professional		$12.74	$17.37	$25.39