Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.78 / $13.25 / $22.24	Facility		$12.78	$13.25	$22.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $13.34 / $18.26	Professional		$12.78	$13.34	$18.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.98 / $39.11 / $39.11	Professional		$25.98	$39.11	$39.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.88 / $38.81 / $71.80	Facility		$28.88	$38.81	$71.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.29 / $31.82 / $45.38	Professional		$19.29	$31.82	$45.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.60 / $27.60 / $32.88	Facility		$27.60	$27.60	$32.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $27.60 / $124.74	Professional		$20.14	$27.60	$124.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.56 / $28.75 / $34.50	Professional		$21.56	$28.75	$34.50
United Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $15.85 / $23.41	Professional		$10.34	$15.85	$23.41