Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $23.99	Facility		$13.49	$13.49	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $22.91	Professional		$12.88	$15.85	$22.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $18.62 / $20.89	Professional		$13.80	$18.62	$20.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $22.91 / $30.90	Facility		$19.50	$22.91	$30.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $22.91 / $29.51	Professional		$20.89	$22.91	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $29.51 / $104.71	Professional		$14.79	$29.51	$104.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $32.36 / $33.11	Professional		$14.45	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $21.88 / $29.51	Professional		$18.62	$21.88	$29.51