Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $4.69 / $9.96	Facility		$4.69	$4.69	$9.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $4.86	Professional		$4.69	$4.69	$4.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.30 / $5.53 / $5.53	Facility		$5.30	$5.53	$5.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.69 / $4.92 / $4.92	Professional		$3.69	$4.92	$4.92
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 $4.68 / $4.68 / $64.00	Facility		$4.68	$4.68	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $5.27 / $6.59	Professional		$4.68	$5.27	$6.59
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 $5.86 / $5.86 / $5.86	Professional		$5.86	$5.86	$5.86