Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Facility		$18.62	$18.62	$18.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.18 / $20.85 / $28.51	Facility		$19.18	$20.85	$28.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $17.00 / $17.00	Professional		$14.45	$17.00	$17.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $10.50 / $18.89	Facility		$10.50	$10.50	$18.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $10.50 / $16.17	Professional		$10.32	$10.50	$16.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.52 / $17.52 / $85.00	Facility		$17.52	$17.52	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.52 / $17.69 / $57.70	Professional		$17.52	$17.69	$57.70
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 $18.62 / $18.62 / $21.97	Professional		$18.62	$18.62	$21.97