Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.17 / $19.80 / $20.53	Facility		$5.17	$19.80	$20.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.01 / $19.80 / $20.58	Professional		$17.01	$19.80	$20.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.97 / $38.51 / $40.47	Facility		$23.97	$38.51	$40.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.02 / $20.03 / $20.84	Professional		$18.02	$20.03	$20.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.88 / $53.63 / $61.64	Facility		$28.88	$53.63	$61.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.58 / $47.89 / $63.54	Professional		$36.58	$47.89	$63.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.64 / $25.64 / $45.13	Facility		$25.64	$25.64	$45.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.72 / $25.64 / $183.64	Professional		$18.72	$25.64	$183.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.27 / $22.46 / $27.86	Professional		$18.27	$22.46	$27.86
United Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $18.29 / $25.39	Professional		$11.57	$18.29	$25.39