Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.76 / $8.76 / $18.62	Facility		$8.76	$8.76	$18.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $8.76 / $9.09	Professional		$8.76	$8.76	$9.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $11.41 / $15.59	Facility		$10.50	$11.41	$15.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.21 / $9.67 / $9.67	Professional		$8.21	$9.67	$9.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.43 / $5.36 / $7.38	Facility		$4.43	$5.36	$7.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.69 / $3.69 / $4.57	Professional		$3.69	$3.69	$4.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.31 / $9.31 / $85.00	Facility		$9.31	$9.31	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $9.31 / $20.29	Professional		$9.24	$9.31	$20.29
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 $10.95 / $10.95 / $11.73	Professional		$10.95	$10.95	$11.73