Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $69.18 / $120.23	Facility		$40.74	$69.18	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $39.81 / $60.26	Professional		$26.92	$39.81	$60.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $50.12 / $52.48	Facility		$42.66	$50.12	$52.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $69.18	Professional		$25.12	$25.12	$69.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $60.26 / $70.79	Facility		$50.12	$60.26	$70.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $63.10 / $100.00	Professional		$50.12	$63.10	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $81.28 / $81.28	Facility		$33.11	$81.28	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $338.84 / $338.84	Professional		$27.54	$338.84	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $42.66 / $70.79	Professional		$21.38	$42.66	$70.79