Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.00 / $27.50 / $28.59	Facility		$21.00	$27.50	$28.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $28.21 / $32.11	Professional		$24.55	$28.21	$32.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.96 / $57.77 / $60.72	Facility		$35.96	$57.77	$60.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.02 / $34.70 / $35.13	Professional		$27.02	$34.70	$35.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.33 / $80.88 / $95.32	Facility		$43.33	$80.88	$95.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.77 / $72.20 / $95.32	Professional		$57.77	$72.20	$95.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.36 / $37.36 / $75.04	Facility		$37.36	$37.36	$75.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $37.36 / $314.51	Professional		$27.27	$37.36	$314.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $36.81 / $46.01	Professional		$30.18	$36.81	$46.01
United Facility/Professional Professional Modifier Low / Median / High Price $19.21 / $28.82 / $44.41	Professional		$19.21	$28.82	$44.41