Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Facility		$1.00	$1.00	$1.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $9.63 / $13.72	Professional		$1.00	$9.63	$13.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.22 / $26.91 / $34.86	Facility		$21.22	$26.91	$34.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.85 / $22.11 / $31.14	Professional		$16.85	$22.11	$31.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $14.46 / $14.46	Professional		$14.46	$14.46	$14.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $3,000.00	Professional		$45.00	$45.00	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00