Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $21.99 / $32.29	Facility		$19.00	$21.99	$32.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $22.80	Professional		$19.00	$19.00	$22.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.52 / $22.41 / $38.00	Facility		$21.52	$22.41	$38.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $21.98	Professional		$19.00	$19.00	$21.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $25.65 / $30.40	Facility		$19.00	$25.65	$30.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $20.90 / $29.26	Professional		$19.00	$20.90	$29.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $90.07 / $90.07	Facility		$19.00	$90.07	$90.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $30.21	Professional		$19.00	$19.00	$30.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.76 / $28.74 / $37.36	Professional		$19.76	$28.74	$37.36
United Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $20.14 / $21.99	Professional		$19.00	$20.14	$21.99