Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $33.88 / $60.26	Facility		$19.95	$33.88	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $23.99	Professional		$15.85	$19.95	$23.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $28.84 / $28.84	Professional		$24.55	$28.84	$28.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $371.54 / $41,686.94	Facility		$29.51	$371.54	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $34.67 / $457.09	Professional		$27.54	$34.67	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $39.81 / $39.81	Facility		$16.22	$39.81	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $15.14 / $25.12	Professional		$10.47	$15.14	$25.12