Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.56 / $25.90 / $46.55	Facility		$22.56	$25.90	$46.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.56 / $27.87 / $38.67	Professional		$22.56	$27.87	$38.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $28.69 / $30.06	Professional		$18.11	$28.69	$30.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.18 / $61.46 / $76.83	Facility		$35.18	$61.46	$76.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.97 / $61.46 / $87.80	Professional		$46.97	$61.46	$87.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.44 / $51.44 / $51.44	Facility		$51.44	$51.44	$51.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.91 / $17.91 / $80.18	Professional		$17.91	$17.91	$80.18
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 $14.60 / $21.90 / $30.06	Professional		$14.60	$21.90	$30.06