Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.12 / $2.12 / $4.51	Facility		$2.12	$2.12	$4.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $2.12 / $2.20	Professional		$2.12	$2.12	$2.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.18 / $41.50 / $41.50	Facility		$38.18	$41.50	$41.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.65 / $2.65	Professional		$2.25	$2.65	$2.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.27 / $2.34 / $4.09	Facility		$2.27	$2.34	$4.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.93 / $2.23 / $2.27	Professional		$1.93	$2.23	$2.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.65 / $2.65 / $2.98	Facility		$2.65	$2.65	$2.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $2.65 / $12.48	Professional		$2.65	$2.65	$12.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $2.65 / $2.65	Professional		$2.65	$2.65	$2.65