Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.76 / $21.70 / $36.89	Facility		$19.76	$21.70	$36.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $23.91	Professional		$21.70	$21.70	$23.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.56 / $25.59 / $43.40	Facility		$24.56	$25.59	$43.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $21.70	Professional		$21.70	$21.70	$21.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.70 / $26.04 / $34.72	Facility		$21.70	$26.04	$34.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $23.87 / $33.42	Professional		$21.70	$23.87	$33.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.70 / $85.00 / $85.00	Facility		$21.70	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $39.18	Professional		$21.70	$21.70	$39.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.55 / $26.40 / $34.32	Professional		$20.55	$26.40	$34.32
United Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $23.00 / $24.16	Professional		$21.70	$23.00	$24.16