Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.55 / $32.22 / $54.77	Facility		$31.55	$32.22	$54.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $32.22 / $40.59	Professional		$26.71	$32.22	$40.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.47 / $37.99 / $38.02	Facility		$36.47	$37.99	$38.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.38 / $32.22 / $32.22	Professional		$27.38	$32.22	$32.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.22 / $35.15 / $51.55	Facility		$32.22	$35.15	$51.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $35.44 / $49.62	Professional		$32.22	$35.44	$49.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.22 / $32.22 / $85.00	Facility		$32.22	$32.22	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $32.22 / $85.04	Professional		$21.20	$32.22	$85.04
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 $32.22 / $32.22 / $32.22	Professional		$32.22	$32.22	$32.22