Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.52 / $1.52 / $3.23	Facility		$1.52	$1.52	$3.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.52 / $1.52 / $1.58	Professional		$1.52	$1.52	$1.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.79 / $1.86 / $3.16	Facility		$1.79	$1.86	$3.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.18 / $1.58 / $1.58	Professional		$1.18	$1.58	$1.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47,999.52 / $62,999.37 / $69,999.30	Facility		$47,999.52	$62,999.37	$69,999.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $2.31 / $3.14	Professional		$1.62	$2.31	$3.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $1.62 / $85.00	Facility		$1.62	$1.62	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $2.41 / $2.41	Professional		$1.62	$2.41	$2.41
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 $1.58 / $1.58 / $1.58	Professional		$1.58	$1.58	$1.58