Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.62 / $26.62 / $26.62	Facility		$26.62	$26.62	$26.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $26.62 / $26.62	Professional		$26.62	$26.62	$26.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.62 / $26.62 / $26.62	Professional		$22.62	$26.62	$26.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.62 / $29.28 / $42.59	Facility		$26.62	$29.28	$42.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $29.28 / $42.59	Professional		$26.62	$29.28	$42.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.62 / $26.62 / $32.64	Facility		$26.62	$26.62	$32.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $42.24 / $42.24	Professional		$26.62	$42.24	$42.24
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 $25.17 / $26.62 / $26.62	Professional		$25.17	$26.62	$26.62