Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Facility		$20.00	$20.00	$20.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.00 / $7.72	Facility		$4.00	$4.00	$7.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $5.68	Professional		$4.00	$4.00	$5.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $226.67 / $226.67 / $293.83	Facility		$226.67	$226.67	$293.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $226.67 / $272.00 / $340.00	Professional		$226.67	$272.00	$340.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $3.60 / $5.28	Professional		$3.60	$3.60	$5.28