Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.19 / $23.19 / $23.19	Facility		$23.19	$23.19	$23.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.47 / $23.19 / $30.53	Professional		$20.47	$23.19	$30.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $48.30 / $48.30	Professional		$38.00	$48.30	$48.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.90 / $31.49 / $42.73	Facility		$22.90	$31.49	$42.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.45 / $31.49 / $44.98	Professional		$20.45	$31.49	$44.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $32.29 / $32.29	Professional		$32.29	$32.29	$32.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $3,000.00	Professional		$45.00	$45.00	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $47.00 / $55.00	Professional		$42.00	$47.00	$55.00