Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.44 / $9.44 / $29.00	Facility		$9.44	$9.44	$29.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $9.63 / $13.72	Professional		$7.83	$9.63	$13.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.53 / $23.50 / $30.44	Facility		$18.53	$23.50	$30.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
Optum Facility/Professional Professional Modifier Low / Median / High Price $7.50 / $10.00 / $11.60	Professional		$7.50	$10.00	$11.60
United Facility/Professional Professional Modifier Low / Median / High Price $7.50 / $10.00 / $11.60	Professional		$7.50	$10.00	$11.60