Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $35.90 / $37.95	Facility		$35.90	$35.90	$37.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $35.92 / $39.51	Professional		$35.92	$35.92	$39.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.37 / $14.37 / $14.37	Facility		$14.37	$14.37	$14.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.21 / $14.37 / $14.37	Professional		$12.21	$14.37	$14.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.92 / $50.29 / $71.84	Facility		$35.92	$50.29	$71.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.31 / $48.49 / $71.84	Professional		$41.31	$48.49	$71.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.35 / $27.95 / $47.40	Facility		$23.35	$27.95	$47.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $39.50 / $173.13	Professional		$35.90	$39.50	$173.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $21.55 / $39.51	Professional		$15.09	$21.55	$39.51