Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $42.00 / $42.00	Facility		$42.00	$42.00	$42.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.71 / $42.00 / $43.64	Professional		$33.71	$42.00	$43.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.42 / $53.42 / $53.42	Facility		$53.42	$53.42	$53.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $63.00 / $63.00	Professional		$45.00	$63.00	$63.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.53 / $77.45 / $101.50	Facility		$66.53	$77.45	$101.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.76 / $74.79 / $106.84	Professional		$58.76	$74.79	$106.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.23 / $62.23 / $62.23	Facility		$62.23	$62.23	$62.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.75 / $39.75 / $116.46	Professional		$39.75	$39.75	$116.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $53.42	Professional		$45.00	$45.00	$53.42
United Facility/Professional Professional Modifier Low / Median / High Price $20.74 / $31.12 / $44.08	Professional		$20.74	$31.12	$44.08