Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.38 / $24.27 / $131.66	Facility		$23.38	$24.27	$131.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.37 / $23.68 / $29.60	Professional		$22.37	$23.68	$29.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.43 / $26.64 / $31.11	Facility		$18.43	$26.64	$31.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.42 / $14.62 / $14.62	Professional		$12.42	$14.62	$14.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.52 / $388.50 / $939.60	Facility		$35.52	$388.50	$939.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $41.44 / $552.02	Professional		$34.04	$41.44	$552.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.23 / $23.03 / $39.06	Facility		$19.23	$23.03	$39.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $142.66 / $142.66	Professional		$34.61	$142.66	$142.66
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 $12.82 / $19.73 / $32.89	Professional		$12.82	$19.73	$32.89