Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.38 / $10.77 / $18.28	Facility		$10.38	$10.77	$18.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.38 / $10.84 / $14.94	Professional		$10.38	$10.84	$14.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.34 / $54.93 / $54.93	Professional		$21.34	$54.93	$54.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.89 / $84.09 / $239.34	Facility		$24.89	$84.09	$239.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $25.86 / $129.37	Professional		$18.44	$25.86	$129.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.24 / $28.09 / $28.09	Facility		$24.24	$28.09	$28.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $28.09 / $101.36	Professional		$20.51	$28.09	$101.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.83 / $95.83 / $114.99	Professional		$95.83	$95.83	$114.99
United Facility/Professional Professional Modifier Low / Median / High Price $8.85 / $12.98 / $19.28	Professional		$8.85	$12.98	$19.28