Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $27.05 / $41.90	Facility		$19.57	$27.05	$41.90
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $41.54 / $75.51 / $76.77	Facility	CQ	$41.54	$75.51	$76.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $19.57 / $27.64	Professional		$14.40	$19.57	$27.64
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $18.44 / $18.44 / $26.32	Professional	CQ	$18.44	$18.44	$26.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.26 / $29.17 / $43.22	Facility		$26.26	$29.17	$43.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.26 / $18.36 / $29.90	Professional		$14.26	$18.36	$29.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.05 / $31.11 / $38.58	Facility		$27.05	$31.11	$38.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $31.67 / $39.22	Professional		$27.05	$31.67	$39.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $65.00 / $82.00	Facility		$33.11	$65.00	$82.00
Cigna Facility/Professional Facility Modifier CQ Low / Median / High Price $27.88 / $27.88 / $27.88	Facility	CQ	$27.88	$27.88	$27.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.61 / $35.53 / $113.94	Professional		$18.61	$35.53	$113.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $32.34 / $32.34	Professional		$11.19	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $21.29 / $26.23 / $32.14	Professional		$21.29	$26.23	$32.14