Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $52.00 / $52.00	Facility		$52.00	$52.00	$52.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.49 / $52.00 / $52.00	Professional		$38.49	$52.00	$52.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.00 / $61.00 / $61.00	Facility		$61.00	$61.00	$61.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $72.00 / $72.00	Professional		$45.00	$72.00	$72.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.45 / $88.45 / $100.65	Facility		$78.45	$88.45	$100.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.15 / $82.91 / $137.25	Professional		$70.15	$82.91	$137.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.06 / $71.06 / $71.06	Facility		$71.06	$71.06	$71.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $21.25 / $132.97	Professional		$21.25	$21.25	$132.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $61.00	Professional		$45.00	$45.00	$61.00
United Facility/Professional Facility Modifier Low / Median / High Price $48.80 / $48.80 / $48.80	Facility		$48.80	$48.80	$48.80
United Facility/Professional Professional Modifier Low / Median / High Price $23.69 / $35.53 / $50.34	Professional		$23.69	$35.53	$50.34