Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.28 / $1.47 / $1.47	Facility		$1.28	$1.47	$1.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.28 / $1.64 / $2.59	Professional		$1.28	$1.64	$2.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $4.25 / $14.67	Professional		$1.00	$4.25	$14.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.27 / $2.95 / $3.70	Facility		$2.27	$2.95	$3.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $2.84 / $3.74	Professional		$2.27	$2.84	$3.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.64 / $3.64 / $3.64	Facility		$3.64	$3.64	$3.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $3.53 / $4.99	Professional		$2.50	$3.53	$4.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $3,000.00	Professional		$45.00	$45.00	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $1.52 / $2.47	Professional		$1.15	$1.52	$2.47