Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $9.67 / $18.77	Facility		$4.17	$9.67	$18.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.21 / $4.21	Professional		$4.17	$4.21	$4.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.38 / $8.34 / $12.51	Facility		$4.38	$8.34	$12.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $4.17 / $5.92	Professional		$3.54	$4.17	$5.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $4.17 / $5.82	Facility		$4.17	$4.17	$5.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.17 / $5.21	Professional		$4.17	$4.17	$5.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $4.17 / $4.17	Facility		$4.17	$4.17	$4.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $4.17 / $11.08	Professional		$4.04	$4.17	$11.08
United Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.17 / $5.21	Professional		$4.17	$4.17	$5.21