Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.93 / $17.55 / $29.48	Facility		$16.93	$17.55	$29.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $17.68 / $24.36	Professional		$16.93	$17.68	$24.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.64 / $41.47 / $43.31	Professional		$34.64	$41.47	$43.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.27 / $65.25 / $128.07	Facility		$38.27	$65.25	$128.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.56 / $42.17 / $67.66	Professional		$25.56	$42.17	$67.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.06 / $30.06 / $39.51	Facility		$30.06	$30.06	$39.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $30.06 / $165.28	Professional		$21.94	$30.06	$165.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.28 / $51.28 / $61.53	Professional		$51.28	$51.28	$61.53
United Facility/Professional Professional Modifier Low / Median / High Price $13.71 / $21.00 / $31.12	Professional		$13.71	$21.00	$31.12