Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.05 / $0.05	Facility		$0.02	$0.05	$0.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $75.00 / $103.00	Professional		$63.00	$75.00	$103.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.75 / $4.75 / $9.17	Facility		$4.75	$4.75	$9.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.75 / $4.75 / $11.81	Professional		$4.75	$4.75	$11.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.21 / $20.69 / $35.31	Facility		$18.21	$20.69	$35.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $24.28 / $33.11	Professional		$21.52	$24.28	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $21.67 / $27.86	Professional		$11.06	$21.67	$27.86
United Facility/Professional Facility Modifier Low / Median / High Price $12.39 / $12.39 / $13.62	Facility		$12.39	$12.39	$13.62
United Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $11.72 / $22.47	Professional		$9.24	$11.72	$22.47