Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.36 / $2.36 / $5.01	Facility		$2.36	$2.36	$5.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.36 / $2.36 / $2.50	Professional		$2.36	$2.36	$2.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.52 / $1.59 / $1.59	Facility		$1.52	$1.59	$1.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $1.42 / $1.42	Professional		$1.20	$1.42	$1.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.77 / $47,999.52 / $55,999.44	Facility		$12.77	$47,999.52	$55,999.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43,499.57 / $48,999.51 / $50,749.49	Professional		$43,499.57	$48,999.51	$50,749.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.73 / $1.73 / $64.00	Facility		$1.73	$1.73	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.73 / $1.73 / $1.73	Professional		$1.73	$1.73	$1.73
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 $0.61 / $1.52 / $1.52	Professional		$0.61	$1.52	$1.52