Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.75 / $21.53 / $54.66	Facility		$18.75	$21.53	$54.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.75 / $31.25 / $87.00	Professional		$18.75	$31.25	$87.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.05 / $23.84 / $25.00	Professional		$15.05	$23.84	$25.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.24 / $51.06 / $63.82	Facility		$29.24	$51.06	$63.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.02 / $51.06 / $72.94	Professional		$39.02	$51.06	$72.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.74 / $42.74 / $42.74	Facility		$42.74	$42.74	$42.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $14.88 / $94.10	Professional		$14.88	$14.88	$94.10
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 $12.13 / $18.20 / $23.70	Professional		$12.13	$18.20	$23.70