Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Facility		$2.00	$2.00	$2.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $3.98	Professional		$2.00	$2.00	$3.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $2.51 / $3.02	Professional		$2.51	$2.51	$3.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $2.51 / $3.98	Facility		$2.51	$2.51	$3.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $2.63 / $3.47	Professional		$2.51	$2.63	$3.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $85.11 / $85.11	Facility		$2.51	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $2.51 / $12.30	Professional		$2.51	$2.51	$12.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $2.57 / $3.47	Professional		$2.57	$2.57	$3.47
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $16.22 / $125.89	Professional		$12.59	$16.22	$125.89