Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.55 / $21.30 / $35.69	Facility		$18.55	$21.30	$35.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $22.91 / $30.98	Professional		$18.55	$22.91	$30.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $23.59 / $24.66	Professional		$14.89	$23.59	$24.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.92 / $50.54 / $63.18	Facility		$28.92	$50.54	$63.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.63 / $50.54 / $72.20	Professional		$38.63	$50.54	$72.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.30 / $42.30 / $42.30	Facility		$42.30	$42.30	$42.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $61.51	Professional		$14.73	$14.73	$61.51
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 $12.01 / $18.01 / $23.80	Professional		$12.01	$18.01	$23.80