Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.43 / $6.24 / $21.13	Facility		$5.43	$6.24	$21.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.43 / $6.70 / $21.13	Professional		$5.43	$6.70	$21.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.88 / $44.89 / $52.20	Facility		$20.88	$44.89	$52.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.70 / $11.05 / $13.00	Professional		$0.70	$11.05	$13.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $8.19 / $8.19	Professional		$8.19	$8.19	$8.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.35 / $12.68 / $12.68	Facility		$9.35	$12.68	$12.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $9.35 / $9.35	Professional		$9.35	$9.35	$9.35
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 $4.40 / $6.43 / $8.21	Professional		$4.40	$6.43	$8.21