Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $34.67 / $61.66	Facility		$19.95	$34.67	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.95 / $23.99	Professional		$16.98	$19.95	$23.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $25.70 / $26.92	Facility		$21.38	$25.70	$26.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $17.38 / $28.84	Professional		$12.88	$17.38	$28.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $30.90 / $35.48	Facility		$25.70	$30.90	$35.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $31.62 / $51.29	Professional		$25.70	$31.62	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $50.12 / $50.12	Facility		$16.60	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $123.03 / $123.03	Professional		$11.75	$123.03	$123.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.49 / $28.18	Professional		$10.72	$15.49	$28.18