Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.49 / $12.49 / $15.31	Facility		$12.49	$12.49	$15.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.35 / $8.52 / $12.49	Professional		$6.35	$8.52	$12.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.68 / $5.68 / $10.96	Facility		$5.68	$5.68	$10.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.68 / $5.68 / $8.06	Professional		$5.68	$5.68	$8.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.58 / $18.95 / $21.87	Facility		$14.58	$18.95	$21.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.58 / $16.77 / $21.87	Professional		$14.58	$16.77	$21.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.70 / $5.95 / $12.07	Professional		$5.70	$5.95	$12.07
United Facility/Professional Professional Modifier Low / Median / High Price $4.12 / $7.05 / $10.45	Professional		$4.12	$7.05	$10.45