Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.54 / $0.54	Facility		$0.03	$0.54	$0.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.43 / $0.43 / $0.43	Professional		$0.43	$0.43	$0.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41,686.94 / $51,286.14 / $56,234.13	Facility		$41,686.94	$51,286.14	$56,234.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48,977.88 / $48,977.88 / $51,286.14	Professional		$48,977.88	$48,977.88	$51,286.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.43 / $0.43 / $64.57	Facility		$0.43	$0.43	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.37 / $0.43 / $1.17	Professional		$0.37	$0.43	$1.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $0.04 / $0.18 / $0.22	Facility		$0.04	$0.18	$0.22
United Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.44 / $0.44	Professional		$0.18	$0.44	$0.44