Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $5.25 / $45.57	Facility		$2.04	$5.25	$45.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.61	Professional		$2.04	$2.04	$2.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $2.40 / $2.41	Facility		$2.29	$2.40	$2.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.73 / $2.04 / $2.04	Professional		$1.73	$2.04	$2.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.24 / $3.65	Facility		$2.04	$2.24	$3.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.14 / $3.14	Professional		$2.04	$2.14	$3.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.04 / $85.00	Facility		$2.04	$2.04	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.60 / $27.63	Professional		$2.04	$2.60	$27.63
United Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Professional		$2.04	$2.04	$2.04