Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Facility		$70.00	$70.00	$70.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Professional		$70.00	$70.00	$70.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.50 / $247.25 / $247.25	Professional		$107.50	$247.25	$247.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.42 / $49.24 / $69.36	Facility		$37.42	$49.24	$69.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.67 / $49.69 / $61.12	Professional		$41.67	$49.69	$61.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $3,000.00	Professional		$45.00	$45.00	$3,000.00