Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.02 / $21.88	Professional		$10.96	$12.02	$21.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $26.30 / $27.54	Facility		$23.44	$26.30	$27.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.49 / $15.49	Professional		$12.02	$15.49	$15.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $34.67 / $44.67	Facility		$19.50	$34.67	$44.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $32.36 / $40.74	Professional		$25.70	$32.36	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $45.71 / $45.71	Facility		$16.22	$45.71	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $23.99 / $138.04	Professional		$12.02	$23.99	$138.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $17.38 / $22.39	Professional		$13.49	$17.38	$22.39
United Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $16.98 / $19.95	Facility		$11.22	$16.98	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.88 / $19.95	Professional		$8.51	$12.88	$19.95