Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.70 / $29.29 / $49.79	Facility		$28.70	$29.29	$49.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.29 / $40.22	Professional		$29.29	$29.29	$40.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.15 / $34.54 / $58.58	Facility		$33.15	$34.54	$58.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.58 / $29.29 / $29.29	Professional		$27.58	$29.29	$29.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $35.15 / $46.86	Facility		$29.29	$35.15	$46.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $32.22 / $45.11	Professional		$29.29	$32.22	$45.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $30.91 / $30.91	Facility		$29.29	$30.91	$30.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.70 / $29.29 / $39.10	Professional		$28.70	$29.29	$39.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.92 / $29.29 / $37.60	Professional		$28.92	$29.29	$37.60
United Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $31.05 / $32.61	Professional		$29.29	$31.05	$32.61