Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $23.99 / $23.99	Facility		$14.13	$23.99	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $18.20	Professional		$10.96	$14.13	$18.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $21.38 / $24.55	Professional		$16.22	$21.38	$24.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $52.48	Facility		$15.85	$15.85	$52.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $52.48	Professional		$15.85	$15.85	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $194.98 / $194.98	Professional		$10.00	$194.98	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $35.48 / $51.29	Professional		$11.75	$35.48	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $45.71 / $83.18	Professional		$35.48	$45.71	$83.18