Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.64 / $5.64 / $9.59	Facility		$5.64	$5.64	$9.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $5.64 / $5.71	Professional		$5.64	$5.64	$5.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.38 / $6.65 / $11.28	Facility		$6.38	$6.65	$11.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.64 / $5.64	Professional		$4.79	$5.64	$5.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.64 / $5.98 / $9.02	Facility		$5.64	$5.98	$9.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $6.20 / $8.69	Professional		$5.64	$6.20	$8.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.64 / $5.64 / $85.00	Facility		$5.64	$5.64	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $5.64 / $10.16	Professional		$4.86	$5.64	$10.16
United Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $5.64 / $5.71	Professional		$5.64	$5.64	$5.71