Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.69 / $36.96 / $62.37	Facility		$36.69	$36.96	$62.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $44.72	Professional		$36.69	$36.69	$44.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.54 / $43.28 / $73.38	Facility		$41.54	$43.28	$73.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $37.24	Professional		$36.69	$36.69	$37.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.69 / $44.03 / $58.70	Facility		$36.69	$44.03	$58.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $40.36 / $56.50	Professional		$36.69	$40.36	$56.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.69 / $47.91 / $47.91	Facility		$36.69	$47.91	$47.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $50.36	Professional		$36.69	$36.69	$50.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.96 / $37.53 / $48.79	Professional		$36.96	$37.53	$48.79
United Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $38.79 / $40.84	Professional		$36.69	$38.79	$40.84