Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.51 / $29.92 / $45.07	Facility		$26.51	$29.92	$45.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $26.51 / $36.20	Professional		$26.51	$26.51	$36.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.01 / $31.26 / $53.02	Facility		$30.01	$31.26	$53.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $26.51 / $29.92	Professional		$26.51	$26.51	$29.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.51 / $31.81 / $42.42	Facility		$26.51	$31.81	$42.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $29.16 / $40.83	Professional		$26.51	$29.16	$40.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.51 / $73.12 / $73.12	Facility		$26.51	$73.12	$73.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $26.51 / $40.99	Professional		$26.51	$26.51	$40.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.57 / $33.09 / $43.02	Professional		$27.57	$33.09	$43.02
United Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $28.10 / $30.49	Professional		$26.51	$28.10	$30.49