Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.95 / $11.95 / $11.95	Facility		$11.95	$11.95	$11.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.59 / $8.88 / $11.95	Professional		$6.59	$8.88	$11.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.35 / $7.35 / $14.19	Facility		$7.35	$7.35	$14.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.35 / $7.35 / $10.43	Professional		$7.35	$7.35	$10.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.82 / $16.67 / $19.23	Facility		$12.82	$16.67	$19.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.82 / $15.38 / $19.76	Professional		$12.82	$15.38	$19.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $11.42 / $16.61	Professional		$9.69	$11.42	$16.61
United Facility/Professional Professional Modifier Low / Median / High Price $6.21 / $8.53 / $15.49	Professional		$6.21	$8.53	$15.49