Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.66 / $1.66 / $3.52	Facility		$1.66	$1.66	$3.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.66 / $1.66 / $1.76	Professional		$1.66	$1.66	$1.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $2.44 / $2.44	Facility		$2.34	$2.44	$2.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.84 / $2.17 / $2.17	Professional		$1.84	$2.17	$2.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41,999.58 / $47,999.52 / $55,999.44	Facility		$41,999.58	$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 $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.56 / $10.19 / $10.19	Professional		$3.56	$10.19	$10.19
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 Facility Modifier Low / Median / High Price $0.04 / $1.67 / $2.09	Facility		$0.04	$1.67	$2.09
United Facility/Professional Professional Modifier Low / Median / High Price $1.67 / $4.17 / $4.17	Professional		$1.67	$4.17	$4.17