Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $5.73 / $9.74	Facility		$5.73	$5.73	$9.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $6.93	Professional		$5.73	$5.73	$6.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.49 / $6.76 / $11.46	Facility		$6.49	$6.76	$11.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $5.74	Professional		$5.73	$5.73	$5.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $6.88 / $9.17	Facility		$5.73	$6.88	$9.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $6.30 / $8.82	Professional		$5.73	$6.30	$8.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $85.00 / $85.00	Facility		$5.73	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $7.81	Professional		$5.73	$5.73	$7.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $7.45	Professional		$5.73	$5.73	$7.45
United Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $6.02 / $6.38	Professional		$5.73	$6.02	$6.38