Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.99 / $7.75 / $8.90	Facility		$4.99	$7.75	$8.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.99 / $8.90 / $12.92	Professional		$4.99	$8.90	$12.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $6.80 / $7.55	Professional		$6.80	$6.80	$7.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.30 / $21.01 / $23.91	Facility		$11.30	$21.01	$23.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $18.07 / $24.87	Professional		$14.32	$18.07	$24.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.05 / $9.05 / $17.66	Facility		$9.05	$9.05	$17.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.69 / $9.05 / $69.65	Professional		$7.69	$9.05	$69.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.43 / $10.29 / $19.59	Professional		$8.43	$10.29	$19.59
United Facility/Professional Professional Modifier Low / Median / High Price $4.43 / $6.80 / $9.63	Professional		$4.43	$6.80	$9.63