Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.38 / $29.30 / $30.39	Facility		$16.38	$29.30	$30.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $29.69 / $31.64	Professional		$25.19	$29.69	$31.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.49 / $57.01 / $59.92	Facility		$35.49	$57.01	$59.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.18 / $27.66 / $32.82	Professional		$26.18	$27.66	$32.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.76 / $79.39 / $91.31	Facility		$42.76	$79.39	$91.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.16 / $70.89 / $94.07	Professional		$54.16	$70.89	$94.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.65 / $31.65 / $66.80	Facility		$31.65	$31.65	$66.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $31.65 / $271.94	Professional		$23.10	$31.65	$271.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $21.42 / $25.04 / $29.48	Facility		$21.42	$25.04	$29.48
United Facility/Professional Professional Modifier Low / Median / High Price $18.96 / $27.38 / $42.12	Professional		$18.96	$27.38	$42.12