Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.33 / $33.33 / $70.81	Facility		$33.33	$33.33	$70.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.33 / $33.33 / $34.58	Professional		$33.33	$33.33	$34.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.37 / $129.63 / $129.63	Facility		$59.37	$129.63	$129.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.78 / $35.27 / $35.27	Professional		$27.78	$35.27	$35.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.54 / $3.06 / $5.09	Facility		$2.54	$3.06	$5.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $3.93	Professional		$2.54	$2.54	$3.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.40 / $35.40 / $85.00	Facility		$35.40	$35.40	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.68 / $35.40 / $52.91	Professional		$32.68	$35.40	$52.91
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 $32.82 / $34.72 / $34.72	Professional		$32.82	$34.72	$34.72