Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $11.29 / $63.55	Facility		$3.98	$11.29	$63.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $11.72 / $14.29	Professional		$11.29	$11.72	$14.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.94 / $12.86 / $15.02	Facility		$4.94	$12.86	$15.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.13 / $8.10	Professional		$5.13	$5.13	$8.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.29 / $20.01 / $23.58	Facility		$14.29	$20.01	$23.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $18.57 / $28.58	Professional		$15.29	$18.57	$28.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.28 / $11.12 / $25.92	Facility		$9.28	$11.12	$25.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.26 / $16.52 / $91.81	Professional		$7.26	$16.52	$91.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $7.86 / $7.86	Professional		$7.86	$7.86	$7.86
United Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $8.57 / $17.14	Professional		$4.87	$8.57	$17.14