Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.86 / $16.86 / $16.86	Facility		$16.86	$16.86	$16.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.45 / $21.08 / $24.09	Professional		$10.45	$21.08	$24.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.50 / $16.67 / $31.66	Professional		$12.50	$16.67	$31.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.31 / $35.69 / $50.03	Facility		$25.31	$35.69	$50.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.84 / $35.96 / $62.54	Professional		$27.84	$35.96	$62.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.42 / $31.42 / $31.42	Facility		$31.42	$31.42	$31.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.15 / $12.15 / $29.79	Professional		$12.15	$12.15	$29.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $12.62 / $18.12	Professional		$8.42	$12.62	$18.12