Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.88 / $30.55 / $35.08	Facility		$18.88	$30.55	$35.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.88 / $35.08 / $50.67	Professional		$18.88	$35.08	$50.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.59 / $31.59 / $66.00	Professional		$31.59	$31.59	$66.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $80.23 / $83.68 / $95.22	Facility		$80.23	$83.68	$95.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.60 / $82.81 / $118.88	Professional		$63.60	$82.81	$118.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.66 / $69.66 / $69.66	Facility		$69.66	$69.66	$69.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.73 / $31.73 / $80.98	Professional		$31.73	$31.73	$80.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $49.10 / $77.27	Professional		$34.65	$49.10	$77.27
United Facility/Professional Professional Modifier Low / Median / High Price $19.77 / $29.51 / $42.50	Professional		$19.77	$29.51	$42.50