Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Facility		$5.00	$5.00	$5.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Professional		$5.00	$5.00	$5.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $11.00 / $12.99	Professional		$0.02	$11.00	$12.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.27 / $0.27 / $0.38	Facility		$0.27	$0.27	$0.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.31 / $0.42	Professional		$0.28	$0.31	$0.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.55 / $22.55 / $64.00	Facility		$22.55	$22.55	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.17 / $19.17 / $22.55	Professional		$19.17	$19.17	$22.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00