Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.96 / $3.96 / $8.42	Facility		$3.96	$3.96	$8.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.96 / $3.96 / $4.11	Professional		$3.96	$3.96	$4.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.70 / $3.85 / $4.87	Facility		$3.70	$3.85	$4.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $3.27 / $3.27	Professional		$2.45	$3.27	$3.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.36 / $9.84 / $62,999.37	Facility		$4.36	$9.84	$62,999.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $6.08 / $9.02	Professional		$4.21	$6.08	$9.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.21 / $4.21 / $4.21	Facility		$4.21	$4.21	$4.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $5.99 / $5.99	Professional		$4.21	$5.99	$5.99
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 $4.13 / $4.13 / $4.13	Professional		$4.13	$4.13	$4.13