Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.81 / $12.81 / $12.81	Facility		$12.81	$12.81	$12.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $14.71 / $17.14	Professional		$7.94	$14.71	$17.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.67 / $24.05	Professional		$8.51	$12.67	$24.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.86 / $26.91 / $35.77	Facility		$17.86	$26.91	$35.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.14 / $25.95 / $43.25	Professional		$21.14	$25.95	$43.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.04 / $25.04 / $25.04	Facility		$25.04	$25.04	$25.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $9.23 / $22.63	Professional		$9.23	$9.23	$22.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $45.00 / $45.00	Professional		$14.40	$45.00	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.40 / $9.59 / $12.67	Professional		$6.40	$9.59	$12.67