Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.30 / $9.30 / $9.30	Facility		$9.30	$9.30	$9.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.76 / $11.62 / $13.28	Professional		$5.76	$11.62	$13.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.89 / $9.19 / $17.45	Professional		$6.89	$9.19	$17.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.95 / $19.67 / $27.68	Facility		$13.95	$19.67	$27.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.35 / $19.89 / $34.60	Professional		$15.35	$19.89	$34.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.22 / $20.22 / $20.22	Facility		$20.22	$20.22	$20.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.70 / $6.70 / $16.42	Professional		$6.70	$6.70	$16.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $6.96 / $10.73	Professional		$4.63	$6.96	$10.73