Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.52 / $18.23 / $18.91	Facility		$10.52	$18.23	$18.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.66 / $18.23 / $18.92	Professional		$15.66	$18.23	$18.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.08 / $35.47 / $37.28	Facility		$22.08	$35.47	$37.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $18.43 / $18.43	Professional		$16.57	$18.43	$18.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.60 / $49.32 / $56.76	Facility		$26.60	$49.32	$56.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.70 / $44.04 / $58.53	Professional		$33.70	$44.04	$58.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.27 / $24.27 / $41.57	Facility		$24.27	$24.27	$41.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.72 / $24.27 / $169.04	Professional		$17.72	$24.27	$169.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $20.69 / $25.62	Professional		$16.80	$20.69	$25.62
United Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $17.32 / $23.38	Professional		$11.80	$17.32	$23.38