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 $12.46 / $12.46 / $24.05	Facility		$12.46	$12.46	$24.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.46 / $12.46 / $17.69	Professional		$12.46	$12.46	$17.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.15 / $15.15 / $20.76	Facility		$15.15	$15.15	$20.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.15 / $18.18 / $22.72	Professional		$15.15	$18.18	$22.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $28.91 / $28.91	Professional		$16.45	$28.91	$28.91