Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $97.72 / $338.84	Facility		$26.30	$97.72	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.89 / $31.62	Professional		$16.98	$20.89	$31.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $26.30 / $27.54	Facility		$21.88	$26.30	$27.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $21.88	Professional		$10.47	$10.47	$21.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $31.62 / $36.31	Facility		$26.30	$31.62	$36.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $31.62 / $42.66	Professional		$26.30	$31.62	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $50.12 / $50.12	Facility		$16.98	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $128.82 / $128.82	Professional		$12.02	$128.82	$128.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.80 / $26.92	Professional		$10.96	$13.80	$26.92