Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.95	Facility		$19.05	$19.05	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $19.05 / $32.36	Professional		$16.60	$19.05	$32.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $38.90 / $41.69	Facility		$35.48	$38.90	$41.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $19.95 / $20.89	Professional		$18.20	$19.95	$20.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $52.48 / $67.61	Facility		$28.84	$52.48	$67.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $47.86 / $61.66	Professional		$38.90	$47.86	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $61.66 / $61.66	Facility		$21.38	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $40.74 / $181.97	Professional		$15.49	$40.74	$181.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $23.44 / $30.20	Professional		$18.20	$23.44	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $18.20 / $21.38	Facility		$16.98	$18.20	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $18.62 / $27.54	Professional		$12.88	$18.62	$27.54