Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.15 / $4.76 / $4.76	Facility		$4.15	$4.76	$4.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.15 / $5.37 / $8.27	Professional		$4.15	$5.37	$8.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.86 / $30.64 / $48.10	Professional		$25.86	$30.64	$48.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.90 / $10.33 / $14.02	Facility		$6.90	$10.33	$14.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.21 / $9.66 / $16.61	Professional		$7.21	$9.66	$16.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.21 / $12.21 / $12.21	Facility		$12.21	$12.21	$12.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $21.36 / $21.36	Professional		$8.36	$21.36	$21.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $45.00 / $3,000.00	Professional		$36.40	$45.00	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $5.04 / $8.25	Professional		$3.44	$5.04	$8.25