Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.39 / $10.39 / $17.66	Facility		$10.39	$10.39	$17.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $10.39 / $12.57	Professional		$10.39	$10.39	$12.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.76 / $12.25 / $20.78	Facility		$11.76	$12.25	$20.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $10.39 / $10.40	Professional		$10.39	$10.39	$10.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.39 / $12.47 / $16.62	Facility		$10.39	$12.47	$16.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $11.43 / $16.00	Professional		$10.39	$11.43	$16.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.39 / $85.00 / $85.00	Facility		$10.39	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $10.39 / $14.03	Professional		$10.39	$10.39	$14.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.41 / $10.41 / $13.53	Professional		$10.41	$10.41	$13.53
United Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $11.01 / $11.57	Professional		$10.39	$11.01	$11.57