Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.54 / $4.54 / $7.76	Facility		$4.54	$4.54	$7.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $4.54 / $6.14	Professional		$4.54	$4.54	$6.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.97 / $125.00 / $125.00	Professional		$8.97	$125.00	$125.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $181.65 / $259.50 / $399.20	Facility		$181.65	$259.50	$399.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $204.99 / $258.94 / $345.25	Professional		$204.99	$258.94	$345.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $9.27 / $70.00	Facility		$9.27	$9.27	$70.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $9.27 / $13.30	Professional		$6.77	$9.27	$13.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.88 / $159.84 / $191.80	Professional		$119.88	$159.84	$191.80
United Facility/Professional Professional Modifier Low / Median / High Price $3.81 / $5.52 / $8.26	Professional		$3.81	$5.52	$8.26