Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $3.00 / $3.00	Facility		$3.00	$3.00	$3.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $3.00	Professional		$3.00	$3.00	$3.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $23.00 / $23.00	Professional		$23.00	$23.00	$23.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.71 / $31.68 / $36.18	Facility		$28.71	$31.68	$36.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $8.50 / $20.59	Professional		$8.50	$8.50	$20.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $3,000.00 / $3,000.00	Professional		$3,000.00	$3,000.00	$3,000.00