Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $1.26 / $1.26	Facility		$1.26	$1.26	$1.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.26 / $1.26	Professional		$1.26	$1.26	$1.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $300.00 / $579.00	Facility		$300.00	$300.00	$579.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $300.00 / $414.00	Professional		$99.00	$300.00	$414.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $314.77 / $314.77 / $408.05	Facility		$314.77	$314.77	$408.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $314.77 / $377.74 / $472.17	Professional		$314.77	$377.74	$472.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.26 / $191.26 / $396.00	Professional		$191.26	$191.26	$396.00