Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.75 / $52.75 / $52.75	Facility		$52.75	$52.75	$52.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $53.28	Professional		$52.75	$52.75	$53.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.72 / $62.21 / $62.21	Facility		$59.72	$62.21	$62.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $52.75	Professional		$52.75	$52.75	$52.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.75 / $73.84 / $84.40	Facility		$52.75	$73.84	$84.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $58.03 / $76.48	Professional		$52.75	$58.03	$76.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.75 / $85.00 / $85.00	Facility		$52.75	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.85 / $52.75 / $71.37	Professional		$48.85	$52.75	$71.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.13 / $51.79 / $67.33	Professional		$24.13	$51.79	$67.33
United Facility/Professional Professional Modifier Low / Median / High Price $50.11 / $52.75 / $56.50	Professional		$50.11	$52.75	$56.50