Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $139.13 / $315.00	Facility		$1.74	$139.13	$315.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $1.76	Professional		$1.74	$1.74	$1.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.97 / $2.04 / $2.04	Facility		$1.97	$2.04	$2.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.64 / $1.74 / $1.74	Professional		$1.64	$1.74	$1.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $1.91 / $2.78	Facility		$1.74	$1.91	$2.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.83 / $2.68	Professional		$1.74	$1.83	$2.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $1.74 / $85.00	Facility		$1.74	$1.74	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.84 / $3.60	Professional		$1.74	$1.84	$3.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $1.82 / $1.82	Professional		$1.82	$1.82	$1.82
United Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $1.86	Professional		$1.74	$1.74	$1.86