Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.35 / $26.91 / $27.90	Facility		$10.35	$26.91	$27.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.12 / $26.91 / $30.74	Professional		$23.12	$26.91	$30.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.59 / $52.36 / $55.03	Facility		$32.59	$52.36	$55.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.16 / $25.42 / $29.43	Professional		$23.16	$25.42	$29.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.27 / $72.97 / $83.89	Facility		$39.27	$72.97	$83.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $49.74 / $65.15 / $86.39	Professional		$49.74	$65.15	$86.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.89 / $34.89 / $61.36	Facility		$34.89	$34.89	$61.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $34.89 / $249.82	Professional		$25.47	$34.89	$249.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.85 / $30.53 / $37.88	Professional		$24.85	$30.53	$37.88
United Facility/Professional Professional Modifier Low / Median / High Price $17.41 / $25.58 / $34.51	Professional		$17.41	$25.58	$34.51