Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.70 / $17.95 / $111.20	Facility		$7.70	$17.95	$111.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.70 / $20.00 / $25.00	Professional		$7.70	$20.00	$25.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.41 / $22.50 / $26.28	Facility		$8.41	$22.50	$26.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.80 / $13.80	Professional		$10.00	$13.80	$13.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $35.00 / $41.25	Facility		$25.00	$35.00	$41.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $32.50 / $56.25	Professional		$25.00	$32.50	$56.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.25 / $19.07 / $30.00	Facility		$16.25	$19.07	$30.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $15.21 / $120.50	Professional		$12.32	$15.21	$120.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.75 / $13.75 / $13.75	Professional		$13.75	$13.75	$13.75
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.93 / $25.00	Professional		$10.00	$13.93	$25.00