Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.58 / $7.58 / $16.10	Facility		$7.58	$7.58	$16.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $7.58 / $7.86	Professional		$7.58	$7.58	$7.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.30 / $4.48 / $4.48	Facility		$4.30	$4.48	$4.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.84 / $3.79 / $3.79	Professional		$2.84	$3.79	$3.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.52 / $6.52 / $11.74	Facility		$6.52	$6.52	$11.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.41 / $6.52 / $6.52	Professional		$6.41	$6.52	$6.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.79 / $3.79 / $8.58	Facility		$3.79	$3.79	$8.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.79 / $8.78 / $35.86	Professional		$3.79	$8.78	$35.86
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 $3.79 / $3.79 / $3.79	Professional		$3.79	$3.79	$3.79