Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.54 / $35.54 / $60.44	Facility		$35.54	$35.54	$60.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.54 / $35.90	Professional		$35.54	$35.54	$35.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.25 / $41.93 / $71.09	Facility		$40.25	$41.93	$71.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.21 / $35.54 / $35.54	Professional		$30.21	$35.54	$35.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.54 / $38.67 / $56.88	Facility		$35.54	$38.67	$56.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $37.33 / $54.75	Professional		$35.54	$37.33	$54.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.99 / $35.54 / $85.00	Facility		$33.99	$35.54	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.26 / $35.54 / $48.93	Professional		$21.26	$35.54	$48.93
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 $35.54 / $35.54 / $35.54	Professional		$35.54	$35.54	$35.54