Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Facility		$25.00	$25.00	$25.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $23.80 / $23.80	Professional		$20.23	$23.80	$23.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.40 / $43.20 / $62.64	Facility		$32.40	$43.20	$62.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.04 / $51.84 / $69.12	Professional		$41.04	$51.84	$69.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.74 / $32.74 / $70.00	Facility		$32.74	$32.74	$70.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $26.80 / $32.74	Professional		$23.90	$26.80	$32.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $32.00 / $40.00	Professional		$32.00	$32.00	$40.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $26.80 / $88.94	Professional		$26.80	$26.80	$88.94