Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.19 / $14.66 / $15.20	Facility		$9.19	$14.66	$15.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $14.66 / $15.22	Professional		$12.60	$14.66	$15.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.76 / $28.53 / $29.99	Facility		$17.76	$28.53	$29.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $14.80 / $15.39	Professional		$13.34	$14.80	$15.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.40 / $39.68 / $45.66	Facility		$21.40	$39.68	$45.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $35.43 / $47.07	Professional		$27.10	$35.43	$47.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.80 / $15.80 / $33.43	Facility		$15.80	$15.80	$33.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $15.80 / $135.68	Professional		$11.53	$15.80	$135.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $14.00 / $18.80	Professional		$9.49	$14.00	$18.80