Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.50 / $25.00 / $111.20	Facility		$20.50	$25.00	$111.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $20.00 / $25.00	Professional		$17.50	$20.00	$25.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.58 / $28.92 / $63.16	Professional		$24.58	$28.92	$63.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $328.13 / $787.50	Facility		$30.00	$328.13	$787.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.75 / $35.00 / $461.92	Professional		$28.75	$35.00	$461.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.25 / $19.45 / $32.99	Facility		$16.25	$19.45	$32.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.78 / $120.50 / $120.50	Professional		$28.78	$120.50	$120.50
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 $10.50 / $15.00 / $25.00	Professional		$10.50	$15.00	$25.00