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 $12.02 / $12.02 / $15.85	Professional		$12.02	$12.02	$15.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $15.14 / $15.14	Facility		$14.45	$15.14	$15.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $13.80	Professional		$12.88	$12.88	$13.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $20.42	Facility		$12.88	$12.88	$20.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $13.80 / $18.20	Professional		$12.88	$13.80	$18.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $85.11 / $85.11	Facility		$12.88	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $54.95	Professional		$12.88	$12.88	$54.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $18.20	Professional		$13.49	$13.49	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.50 / $125.89	Professional		$12.88	$19.50	$125.89