Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.58 / $26.58 / $41.30	Facility		$26.58	$26.58	$41.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.58 / $37.20 / $49.82	Professional		$26.58	$37.20	$49.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $27.44 / $66.59	Professional		$21.31	$27.44	$66.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.32 / $44.70 / $51.57	Facility		$38.32	$44.70	$51.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $45.33 / $75.38	Professional		$38.00	$45.33	$75.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.56 / $55.56 / $55.56	Facility		$55.56	$55.56	$55.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $43.50 / $82.38	Professional		$16.54	$43.50	$82.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $31.36 / $52.16 / $81.75	Professional		$31.36	$52.16	$81.75