Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.19 / $3.19 / $5.42	Facility		$3.19	$3.19	$5.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.19 / $3.19 / $3.35	Professional		$3.19	$3.19	$3.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.61 / $3.76 / $5.45	Facility		$3.61	$3.76	$5.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.19 / $3.19 / $3.19	Professional		$3.19	$3.19	$3.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.19 / $3.41 / $5.09	Facility		$3.19	$3.41	$5.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.19 / $3.35 / $4.91	Professional		$3.19	$3.35	$4.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.19 / $3.19 / $85.00	Facility		$3.19	$3.19	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.19 / $3.24 / $10.34	Professional		$3.19	$3.24	$10.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $2.49	Professional		$2.49	$2.49	$2.49
United Facility/Professional Professional Modifier Low / Median / High Price $1.28 / $3.19 / $3.19	Professional		$1.28	$3.19	$3.19