Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.58 / $4.58 / $9.74	Facility		$4.58	$4.58	$9.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.58 / $4.58 / $4.76	Professional		$4.58	$4.58	$4.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.21 / $5.66 / $5.66	Facility		$5.21	$5.66	$5.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.51 / $4.68 / $4.80	Professional		$3.51	$4.68	$4.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41,999.58 / $55,999.44 / $69,999.30	Facility		$41,999.58	$55,999.44	$69,999.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.87 / $4.87 / $85.00	Facility		$4.87	$4.87	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $6.42 / $6.96	Professional		$4.87	$6.42	$6.96
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 $5.73 / $5.73 / $5.73	Professional		$5.73	$5.73	$5.73