Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.93 / $21.37 / $22.16	Facility		$12.93	$21.37	$22.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.36 / $21.28 / $22.23	Professional		$18.36	$21.28	$22.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.88 / $41.58 / $43.70	Facility		$25.88	$41.58	$43.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.31 / $21.64 / $21.64	Professional		$13.31	$21.64	$21.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.19 / $57.95 / $66.58	Facility		$31.19	$57.95	$66.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $51.74 / $68.61	Professional		$39.50	$51.74	$68.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.09 / $23.09 / $48.73	Facility		$23.09	$23.09	$48.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $23.09 / $198.39	Professional		$16.86	$23.09	$198.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.15 / $27.02 / $33.77	Professional		$22.15	$27.02	$33.77
United Facility/Professional Professional Modifier Low / Median / High Price $13.83 / $19.97 / $27.41	Professional		$13.83	$19.97	$27.41