Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $14.08 / $23.62	Facility		$13.58	$14.08	$23.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.58 / $14.18 / $19.21	Professional		$13.58	$14.18	$19.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.85 / $23.85 / $32.97	Professional		$23.85	$23.85	$32.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.24 / $48.06 / $79.30	Facility		$31.24	$48.06	$79.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.49 / $33.81 / $52.87	Professional		$20.49	$33.81	$52.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.58 / $28.58 / $31.68	Facility		$28.58	$28.58	$31.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.86 / $28.58 / $132.50	Professional		$20.86	$28.58	$132.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.70 / $35.60 / $42.72	Professional		$26.70	$35.60	$42.72
United Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $16.98 / $24.76	Professional		$11.57	$16.98	$24.76