Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.92 / $29.09 / $30.25	Facility		$20.92	$29.09	$30.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.97 / $28.11 / $32.01	Professional		$25.97	$28.11	$32.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.04 / $61.12 / $64.23	Facility		$38.04	$61.12	$64.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $34.64 / $34.64	Professional		$28.00	$34.64	$34.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.84 / $82.51 / $98.54	Facility		$45.84	$82.51	$98.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.06 / $73.34 / $100.85	Professional		$58.06	$73.34	$100.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.97 / $35.97 / $75.23	Facility		$35.97	$35.97	$75.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.26 / $35.97 / $315.32	Professional		$26.26	$35.97	$315.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.93 / $38.95 / $48.68	Professional		$31.93	$38.95	$48.68
United Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $30.49 / $44.25	Professional		$20.32	$30.49	$44.25