Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.93 / $26.91 / $27.90	Facility		$12.93	$26.91	$27.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.12 / $26.91 / $28.00	Professional		$23.12	$26.91	$28.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.59 / $52.36 / $55.03	Facility		$32.59	$52.36	$55.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.49 / $27.25 / $27.25	Professional		$24.49	$27.25	$27.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.27 / $72.97 / $83.89	Facility		$39.27	$72.97	$83.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $49.74 / $65.15 / $86.39	Professional		$49.74	$65.15	$86.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.33 / $36.33 / $61.36	Facility		$36.33	$36.33	$61.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $30.39 / $249.82	Professional		$26.52	$30.39	$249.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.90 / $34.03 / $42.53	Professional		$27.90	$34.03	$42.53
United Facility/Professional Facility Modifier Low / Median / High Price $19.68 / $23.01 / $27.08	Facility		$19.68	$23.01	$27.08
United Facility/Professional Professional Modifier Low / Median / High Price $17.41 / $25.15 / $34.51	Professional		$17.41	$25.15	$34.51