Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.78 / $9.78 / $20.81	Facility		$9.78	$9.78	$20.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.78 / $9.78 / $10.40	Professional		$9.78	$9.78	$10.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.70 / $4.90 / $12.04	Facility		$4.70	$4.90	$12.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.16 / $8.99 / $8.99	Professional		$4.16	$8.99	$8.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.12 / $4.37 / $4.99	Facility		$3.12	$4.37	$4.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.07 / $3.43 / $4.67	Professional		$3.07	$3.43	$4.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $85.00 / $85.00	Facility		$10.40	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.16 / $10.40 / $10.40	Professional		$4.16	$10.40	$10.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $3,000.00	Professional		$45.00	$45.00	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.81 / $11.35	Professional		$10.19	$10.81	$11.35