Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.71 / $32.29 / $45.41	Facility		$26.71	$32.29	$45.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.71 / $39.07	Professional		$26.71	$26.71	$39.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.24 / $31.50 / $53.42	Facility		$30.24	$31.50	$53.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.71 / $28.86	Professional		$26.71	$26.71	$28.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.71 / $32.04 / $42.74	Facility		$26.71	$32.04	$42.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $29.38 / $41.13	Professional		$26.71	$29.38	$41.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.71 / $85.00 / $85.00	Facility		$26.71	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.71 / $54.21	Professional		$26.71	$26.71	$54.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.77 / $30.32 / $39.42	Professional		$27.77	$30.32	$39.42
United Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $28.31 / $31.51	Professional		$26.71	$28.31	$31.51