Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.50 / $25.20 / $42.84	Facility		$23.50	$25.20	$42.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $25.20 / $34.60	Professional		$25.20	$25.20	$34.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.54 / $29.73 / $35.67	Facility		$28.54	$29.73	$35.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $25.20 / $25.55	Professional		$25.20	$25.20	$25.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $30.24 / $40.32	Facility		$25.20	$30.24	$40.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $27.72 / $38.81	Professional		$25.20	$27.72	$38.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $85.00 / $85.00	Facility		$25.20	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $25.20 / $55.94	Professional		$25.20	$25.20	$55.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.44 / $24.62 / $32.01	Professional		$24.44	$24.62	$32.01
United Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $26.71 / $28.05	Professional		$25.20	$26.71	$28.05