Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $1.26 / $1.26	Facility		$1.26	$1.26	$1.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.26 / $1.26	Professional		$1.26	$1.26	$1.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $300.00 / $300.00	Professional		$90.00	$300.00	$300.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $440.69 / $440.69 / $440.69	Facility		$440.69	$440.69	$440.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $326.44 / $362.00 / $440.69	Professional		$326.44	$362.00	$440.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.07 / $267.07 / $267.07	Facility		$267.07	$267.07	$267.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.26 / $191.26 / $233.21	Professional		$191.26	$191.26	$233.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00