Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.14 / $2.14 / $4.54	Facility		$2.14	$2.14	$4.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.14 / $2.22	Professional		$2.14	$2.14	$2.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.33 / $2.43 / $4.46	Facility		$2.33	$2.43	$4.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.02 / $16.50 / $16.50	Professional		$14.02	$16.50	$16.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.37 / $5.15 / $62,999.37	Facility		$3.37	$5.15	$62,999.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $3.18 / $4.72	Professional		$2.27	$3.18	$4.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.27 / $2.27 / $2.27	Facility		$2.27	$2.27	$2.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $3.29 / $3.29	Professional		$2.27	$3.29	$3.29
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 $2.23 / $2.23 / $2.23	Professional		$2.23	$2.23	$2.23