Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.48 / $12.48 / $12.48	Facility		$12.48	$12.48	$12.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $12.48 / $12.95	Professional		$12.48	$12.48	$12.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $12.48 / $12.48	Professional		$12.48	$12.48	$12.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.48 / $15.48 / $15.48	Facility		$15.48	$15.48	$15.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.81 / $13.83 / $68.98	Professional		$10.81	$13.83	$68.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Facility		$13.26	$13.26	$13.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Professional		$13.26	$13.26	$13.26
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 $12.35 / $13.00 / $13.92	Professional		$12.35	$13.00	$13.92