Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.01 / $23.25 / $26.70	Facility		$19.01	$23.25	$26.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.01 / $27.18 / $38.75	Professional		$19.01	$27.18	$38.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.26 / $45.26 / $45.26	Facility		$45.26	$45.26	$45.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $24.94 / $27.77	Professional		$18.48	$24.94	$27.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.95 / $63.36 / $74.68	Facility		$33.95	$63.36	$74.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.26 / $56.58 / $74.68	Professional		$45.26	$56.58	$74.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.14 / $29.14 / $59.00	Facility		$29.14	$29.14	$59.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $29.14 / $218.15	Professional		$21.27	$29.14	$218.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $24.79 / $58.84	Professional		$20.32	$24.79	$58.84
United Facility/Professional Professional Modifier Low / Median / High Price $14.21 / $21.32 / $33.53	Professional		$14.21	$21.32	$33.53