Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $19.48 / $19.48	Facility		$19.48	$19.48	$19.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $19.67	Professional		$19.48	$19.48	$19.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.06 / $22.98 / $22.98	Facility		$22.06	$22.98	$22.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $21.18	Professional		$19.48	$19.48	$21.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $27.27 / $31.17	Facility		$19.48	$27.27	$31.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $21.43 / $31.17	Professional		$19.48	$21.43	$31.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $85.00 / $85.00	Facility		$19.48	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $27.56	Professional		$19.48	$19.48	$27.56
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 $19.48 / $19.48 / $25.17	Professional		$19.48	$19.48	$25.17