Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $46.77 / $81.28	Facility		$26.92	$46.77	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $26.92 / $33.11	Professional		$25.12	$26.92	$33.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $33.88 / $35.48	Facility		$28.84	$33.88	$35.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $28.18 / $47.86	Professional		$16.60	$28.18	$47.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $40.74 / $47.86	Facility		$33.88	$40.74	$47.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $42.66 / $67.61	Professional		$33.88	$42.66	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $53.70 / $53.70	Facility		$21.88	$53.70	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $208.93 / $208.93	Professional		$20.42	$208.93	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $28.18 / $47.86	Professional		$14.13	$28.18	$47.86