Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.17 / $14.13 / $14.69	Facility		$9.17	$14.13	$14.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $13.23 / $14.69	Professional		$12.38	$13.23	$14.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.48 / $29.68 / $31.19	Facility		$18.48	$29.68	$31.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $15.17 / $17.73	Professional		$13.22	$15.17	$17.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.26 / $37.94 / $43.36	Facility		$22.26	$37.94	$43.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.20 / $35.61 / $48.97	Professional		$28.20	$35.61	$48.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $16.89 / $34.78	Facility		$16.89	$16.89	$34.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $16.89 / $138.72	Professional		$12.34	$16.89	$138.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.52 / $18.93 / $23.66	Professional		$15.52	$18.93	$23.66
United Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $14.81 / $19.57	Professional		$9.86	$14.81	$19.57