Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.15 / $9.35 / $9.35	Facility		$8.15	$9.35	$9.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $10.37 / $15.69	Professional		$8.15	$10.37	$15.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $5.00 / $33.00	Professional		$4.25	$5.00	$33.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.53 / $20.26 / $27.49	Facility		$13.53	$20.26	$27.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.14 / $19.53 / $32.56	Professional		$14.14	$19.53	$32.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.57 / $21.57 / $21.57	Facility		$21.57	$21.57	$21.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $14.02 / $16.13	Professional		$13.49	$14.02	$16.13
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 $7.36 / $9.69 / $15.68	Professional		$7.36	$9.69	$15.68