Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $4.47 / $8.91	Facility		$3.98	$4.47	$8.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $4.47 / $11.75	Professional		$3.98	$4.47	$11.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.25 / $8.51	Facility		$5.01	$5.25	$8.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.47 / $4.47	Professional		$4.47	$4.47	$4.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $4.47 / $7.08	Facility		$4.47	$4.47	$7.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.68 / $6.46	Professional		$4.47	$4.68	$6.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $85.11 / $85.11	Facility		$4.47	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.47 / $19.05	Professional		$4.47	$4.47	$19.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.47 / $5.75	Professional		$4.47	$4.47	$5.75
United Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.68 / $4.90	Professional		$4.47	$4.68	$4.90