Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $19.97 / $19.97	Facility		$19.97	$19.97	$19.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $20.17	Professional		$19.97	$19.97	$20.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $19.97	Professional		$19.97	$19.97	$19.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $27.96 / $31.95	Facility		$19.97	$27.96	$31.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $21.97 / $31.95	Professional		$19.97	$21.97	$31.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $22.63 / $22.63	Facility		$19.97	$22.63	$22.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $28.56	Professional		$19.97	$19.97	$28.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.50 / $21.50 / $27.95	Professional		$21.50	$21.50	$27.95
United Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $26.93	Professional		$19.97	$19.97	$26.93