Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.88 / $11.88 / $11.88	Facility		$11.88	$11.88	$11.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $11.88 / $12.00	Professional		$11.88	$11.88	$12.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.45 / $14.01 / $14.01	Facility		$13.45	$14.01	$14.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $11.88 / $12.36	Professional		$11.88	$11.88	$12.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.88 / $16.63 / $19.01	Facility		$11.88	$16.63	$19.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $13.07 / $19.01	Professional		$11.88	$13.07	$19.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.88 / $85.00 / $85.00	Facility		$11.88	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.88 / $16.82	Professional		$11.48	$11.88	$16.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $12.01 / $15.61	Professional		$12.01	$12.01	$15.61
United Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $11.88 / $12.72	Professional		$11.88	$11.88	$12.72