Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $79.43 / $93.33	Facility		$28.18	$79.43	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.84 / $38.02	Professional		$22.91	$28.84	$38.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Facility		$11.75	$11.75	$11.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $19.50	Professional		$15.49	$15.49	$19.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $35.48	Facility		$30.20	$30.20	$35.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $45.71 / $45.71	Facility		$5.01	$45.71	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $41.69 / $138.04	Professional		$11.22	$41.69	$138.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $3,019.95	Professional		$44.67	$44.67	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $17.78 / $25.70	Professional		$11.22	$17.78	$25.70