Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $28.52 / $48.48	Facility		$28.52	$28.52	$48.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $34.51	Professional		$28.52	$28.52	$34.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.28 / $33.63 / $57.04	Facility		$32.28	$33.63	$57.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $29.09	Professional		$28.52	$28.52	$29.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $34.22 / $45.63	Facility		$28.52	$34.22	$45.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $31.37 / $43.92	Professional		$28.52	$31.37	$43.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $32.61 / $32.61	Facility		$28.52	$32.61	$32.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $38.85	Professional		$28.52	$28.52	$38.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $3,000.00	Professional		$45.00	$45.00	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $30.23 / $31.75	Professional		$28.52	$30.23	$31.75