Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.22 / $3.22 / $6.85	Facility		$3.22	$3.22	$6.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.22 / $3.34	Professional		$3.22	$3.22	$3.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.18 / $3.31 / $3.96	Facility		$3.18	$3.31	$3.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.17 / $2.56 / $2.56	Professional		$2.17	$2.56	$2.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.65 / $41,999.58 / $62,999.37	Facility		$6.65	$41,999.58	$62,999.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.43 / $4.93 / $7.32	Professional		$3.43	$4.93	$7.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.43 / $3.43 / $3.43	Facility		$3.43	$3.43	$3.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.43 / $4.97 / $4.97	Professional		$3.43	$4.97	$4.97
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 $3.36 / $3.36 / $3.36	Professional		$3.36	$3.36	$3.36