Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.86 / $2.86 / $6.07	Facility		$2.86	$2.86	$6.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.86 / $2.86 / $2.96	Professional		$2.86	$2.86	$2.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.38 / $2.59 / $2.59	Facility		$2.38	$2.59	$2.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.86 / $2.86	Professional		$2.14	$2.86	$2.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.16 / $52,149.48 / $69,999.30	Facility		$4.16	$52,149.48	$69,999.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $2.19 / $85.00	Facility		$2.19	$2.19	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.20 / $2.31	Professional		$2.19	$2.20	$2.31
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 $3.57 / $3.57 / $3.57	Professional		$3.57	$3.57	$3.57