Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.35 / $28.27 / $34.60	Facility		$20.35	$28.27	$34.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $34.21	Professional		$20.35	$20.35	$34.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.04 / $24.00 / $40.70	Facility		$23.04	$24.00	$40.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $25.94	Professional		$20.35	$20.35	$25.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.35 / $24.42 / $32.56	Facility		$20.35	$24.42	$32.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $22.39 / $31.34	Professional		$20.35	$22.39	$31.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.35 / $161.15 / $161.15	Facility		$20.35	$161.15	$161.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $46.35	Professional		$20.35	$20.35	$46.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.16 / $25.60 / $33.28	Professional		$21.16	$25.60	$33.28
United Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $21.57 / $26.05	Professional		$20.35	$21.57	$26.05