Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.49 / $12.49 / $12.49	Facility		$12.49	$12.49	$12.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $12.62	Professional		$12.49	$12.49	$12.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $12.56	Professional		$12.49	$12.49	$12.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.49 / $17.48 / $19.98	Facility		$12.49	$17.48	$19.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $13.74 / $19.98	Professional		$12.49	$13.74	$19.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.49 / $85.00 / $85.00	Facility		$12.49	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $12.49 / $17.68	Professional		$9.69	$12.49	$17.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.87 / $16.29	Professional		$12.49	$12.87	$16.29
United Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $13.38	Professional		$12.49	$12.49	$13.38