Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $58.94 / $86.41	Professional		$17.48	$58.94	$86.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $44.87 / $86.52	Professional		$19.23	$44.87	$86.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.15 / $27.15 / $29.03	Facility		$27.15	$27.15	$29.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.75 / $104.19 / $167.45	Professional		$72.75	$104.19	$167.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.93 / $33.93 / $33.93	Facility		$33.93	$33.93	$33.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $57.89 / $107.93	Professional		$18.34	$57.89	$107.93
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 $47.61 / $65.86 / $96.42	Professional		$47.61	$65.86	$96.42