Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $30.93 / $45.01	Professional		$15.18	$30.93	$45.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $31.79 / $49.49	Professional		$16.07	$31.79	$49.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.48 / $23.53 / $25.17	Facility		$18.48	$23.53	$25.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $23.53 / $37.81	Professional		$18.48	$23.53	$37.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.42 / $29.42 / $29.42	Facility		$29.42	$29.42	$29.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.25 / $33.85 / $67.18	Professional		$16.25	$33.85	$67.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.75 / $24.75 / $33.00	Professional		$24.75	$24.75	$33.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.50 / $36.67 / $56.68	Professional		$30.50	$36.67	$56.68