Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.29 / $13.29 / $22.59	Facility		$13.29	$13.29	$22.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.29 / $14.76	Professional		$13.29	$13.29	$14.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.05 / $15.68 / $26.58	Facility		$15.05	$15.68	$26.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $13.29 / $13.29	Professional		$11.29	$13.29	$13.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.29 / $14.42 / $21.26	Facility		$13.29	$14.42	$21.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $14.62 / $20.47	Professional		$13.29	$14.62	$20.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.29 / $13.29 / $85.00	Facility		$13.29	$13.29	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $13.29 / $24.64	Professional		$11.99	$13.29	$24.64
United Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.29 / $13.29	Professional		$13.29	$13.29	$13.29