Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.01 / $50.01 / $50.01	Facility		$50.01	$50.01	$50.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.32 / $54.36 / $66.91	Professional		$28.32	$54.36	$66.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.46 / $49.44 / $89.30	Professional		$31.46	$49.44	$89.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.26 / $102.55 / $128.83	Facility		$64.26	$102.55	$128.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.31 / $100.14 / $164.81	Professional		$80.31	$100.14	$164.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.71 / $88.71 / $88.71	Facility		$88.71	$88.71	$88.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.92 / $32.92 / $88.33	Professional		$32.92	$32.92	$88.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $36.54 / $51.95	Professional		$22.81	$36.54	$51.95