Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Facility		$1.00	$1.00	$1.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $2.00	Professional		$1.00	$1.00	$2.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $2.45 / $2.45	Professional		$1.74	$2.45	$2.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $3.63 / $15.85	Professional		$1.00	$3.63	$15.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $3.63 / $4.27	Facility		$2.95	$3.63	$4.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $2.95 / $3.16	Professional		$2.63	$2.95	$3.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $4.17 / $4.17	Facility		$4.17	$4.17	$4.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.55 / $12.59	Professional		$2.75	$3.55	$12.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $3,019.95	Professional		$44.67	$44.67	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $1.58 / $2.45	Professional		$1.15	$1.58	$2.45