Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.80 / $7.80 / $16.57	Facility		$7.80	$7.80	$16.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $7.80 / $8.89	Professional		$7.80	$7.80	$8.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $4.26 / $9.59	Facility		$4.09	$4.26	$9.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.89 / $3.41 / $3.61	Professional		$2.89	$3.41	$3.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.99 / $2.04 / $3.58	Facility		$1.99	$2.04	$3.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $1.95 / $1.99	Professional		$1.69	$1.95	$1.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.28 / $8.28 / $85.00	Facility		$8.28	$8.28	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.61 / $8.28 / $12.38	Professional		$3.61	$8.28	$12.38
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 $8.13 / $8.13 / $8.13	Professional		$8.13	$8.13	$8.13