Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.28 / $16.80 / $159.06	Facility		$13.28	$16.80	$159.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $13.45 / $16.80	Professional		$11.10	$13.45	$16.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.73 / $15.13 / $17.67	Facility		$9.73	$15.13	$17.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.67 / $6.72 / $16.38	Professional		$5.67	$6.72	$16.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $20.17 / $23.60	Facility		$16.80	$20.17	$23.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $20.34 / $33.61	Professional		$16.80	$20.34	$33.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.93 / $12.83 / $50.00	Facility		$10.93	$12.83	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $17.60 / $81.02	Professional		$7.76	$17.60	$81.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.25 / $9.25 / $9.25	Professional		$9.25	$9.25	$9.25
United Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $10.03 / $18.89	Professional		$7.06	$10.03	$18.89