Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.88 / $29.60 / $40.60	Facility		$23.88	$29.60	$40.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $23.88 / $35.82	Professional		$23.88	$23.88	$35.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.04 / $28.16 / $47.76	Facility		$27.04	$28.16	$47.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $23.88 / $29.60	Professional		$23.88	$23.88	$29.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.88 / $28.66 / $38.21	Facility		$23.88	$28.66	$38.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $26.27 / $36.78	Professional		$23.88	$26.27	$36.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.88 / $85.00 / $85.00	Facility		$23.88	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $23.88 / $141.60	Professional		$23.88	$23.88	$141.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.83 / $27.69 / $36.00	Professional		$24.83	$27.69	$36.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $25.31 / $28.71	Professional		$23.88	$25.31	$28.71