Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $9.94 / $14.72	Facility		$9.94	$9.94	$14.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $11.91 / $14.72	Professional		$9.94	$11.91	$14.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.54 / $17.55 / $17.85	Professional		$14.54	$17.55	$17.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.22 / $18.75 / $36.25	Facility		$2.22	$18.75	$36.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $22.19 / $36.25	Professional		$2.49	$22.19	$36.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.57 / $14.57 / $25.86	Facility		$14.57	$14.57	$25.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $14.57 / $20.68	Professional		$12.38	$14.57	$20.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.20 / $16.27 / $100.00	Professional		$12.20	$16.27	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.50 / $12.14 / $17.75	Professional		$7.50	$12.14	$17.75