Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $25.70	Facility		$22.91	$22.91	$25.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.92 / $38.90	Professional		$19.05	$26.92	$38.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $25.12 / $28.18	Professional		$16.98	$25.12	$28.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $61.66 / $79.43	Facility		$33.88	$61.66	$79.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $56.23 / $72.44	Professional		$45.71	$56.23	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $72.44 / $72.44	Facility		$28.18	$72.44	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $41.69 / $218.78	Professional		$20.89	$41.69	$218.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.70 / $64.57	Professional		$20.42	$25.70	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $22.39 / $33.88	Facility		$19.50	$22.39	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $21.38 / $33.88	Professional		$14.13	$21.38	$33.88