Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.62 / $21.62 / $45.93	Facility		$21.62	$21.62	$45.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.62 / $21.62 / $22.43	Professional		$21.62	$21.62	$22.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.50 / $26.56 / $26.57	Facility		$25.50	$26.56	$26.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $9.57 / $9.57	Professional		$8.13	$9.57	$9.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $14.41 / $26.80	Professional		$10.11	$14.41	$26.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.97 / $22.97 / $85.00	Facility		$22.97	$22.97	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.82 / $22.97 / $34.32	Professional		$8.82	$22.97	$34.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.29 / $22.52 / $22.52	Professional		$21.29	$22.52	$22.52