Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.52 / $23.52 / $49.98	Facility		$23.52	$23.52	$49.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.52 / $23.52 / $30.74	Professional		$23.52	$23.52	$30.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.58 / $28.89 / $28.89	Facility		$26.58	$28.89	$28.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.37 / $24.50 / $24.50	Professional		$18.37	$24.50	$24.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41,999.58 / $55,999.44 / $69,999.30	Facility		$41,999.58	$55,999.44	$69,999.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.50 / $24.50 / $64.00	Facility		$24.50	$24.50	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.04 / $24.50 / $26.46	Professional		$19.04	$24.50	$26.46
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 $27.79 / $29.40 / $29.40	Professional		$27.79	$29.40	$29.40