Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $21.05 / $44.73	Facility		$21.05	$21.05	$44.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $21.84	Professional		$21.05	$21.05	$21.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.84 / $24.83 / $24.83	Facility		$22.84	$24.83	$24.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $21.05 / $21.05	Professional		$17.89	$21.05	$21.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.59 / $17.59 / $31.66	Facility		$17.59	$17.59	$31.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.95 / $17.29 / $17.59	Professional		$14.95	$17.29	$17.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $21.05 / $23.12	Facility		$21.05	$21.05	$23.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $31.49 / $96.64	Professional		$21.05	$31.49	$96.64
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 $21.05 / $21.05 / $21.05	Professional		$21.05	$21.05	$21.05