Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.75 / $14.75 / $17.22	Facility		$14.75	$14.75	$17.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.49 / $10.33 / $14.75	Professional		$7.49	$10.33	$14.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.63 / $7.63 / $14.73	Facility		$7.63	$7.63	$14.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.63 / $7.63 / $10.83	Professional		$7.63	$7.63	$10.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.22 / $22.39 / $25.83	Facility		$17.22	$22.39	$25.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $20.66 / $25.83	Professional		$18.07	$20.66	$25.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $8.78 / $17.67	Professional		$8.78	$8.78	$17.67
United Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $8.59 / $12.93	Professional		$4.87	$8.59	$12.93