Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.22 / $15.14 / $15.75	Facility		$13.22	$15.14	$15.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.52 / $15.37 / $16.88	Professional		$13.52	$15.37	$16.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.80 / $31.82 / $33.44	Facility		$19.80	$31.82	$33.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $16.98 / $21.89	Professional		$14.88	$16.98	$21.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.87 / $44.32 / $50.95	Facility		$23.87	$44.32	$50.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $39.58 / $52.50	Professional		$30.23	$39.58	$52.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.14 / $25.14 / $37.28	Facility		$25.14	$25.14	$37.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.37 / $25.14 / $140.02	Professional		$21.37	$25.14	$140.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.68 / $19.13 / $23.91	Professional		$15.68	$19.13	$23.91
United Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $15.88 / $21.26	Professional		$10.58	$15.88	$21.26