Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.86 / $2.86 / $6.09	Facility		$2.86	$2.86	$6.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.86 / $2.86 / $2.97	Professional		$2.86	$2.86	$2.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.08 / $3.21 / $4.99	Facility		$3.08	$3.21	$4.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $2.62 / $2.62	Professional		$2.22	$2.62	$2.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.29 / $47,999.52 / $62,999.37	Facility		$5.29	$47,999.52	$62,999.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $3.04 / $3.04	Professional		$3.04	$3.04	$3.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.04 / $3.04 / $3.04	Facility		$3.04	$3.04	$3.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $4.55 / $4.55	Professional		$3.04	$4.55	$4.55
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 $2.98 / $2.98 / $2.98	Professional		$2.98	$2.98	$2.98