Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.80 / $64.79 / $68.03	Facility		$12.80	$64.79	$68.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $67.54 / $68.03	Professional		$12.80	$67.54	$68.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.27 / $54.64 / $54.64	Facility		$50.27	$54.64	$54.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $12.00 / $14.00	Professional		$10.19	$12.00	$14.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.13 / $64.15 / $111.83	Facility		$62.13	$64.15	$111.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.06 / $62.13 / $62.13	Professional		$61.06	$62.13	$62.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $14.00 / $85.00	Facility		$14.00	$14.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $14.00 / $341.45	Professional		$14.00	$14.00	$341.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $16.00 / $17.14	Professional		$16.00	$16.00	$17.14