Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.22 / $32.10 / $694.20	Facility		$3.22	$32.10	$694.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.22 / $4.05	Professional		$3.22	$3.22	$4.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.65 / $3.80 / $4.55	Facility		$3.65	$3.80	$4.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $3.22 / $3.22	Professional		$2.73	$3.22	$3.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.22 / $3.54 / $5.53	Facility		$3.22	$3.54	$5.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.38 / $4.51	Professional		$3.22	$3.38	$4.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.22 / $3.22 / $85.00	Facility		$3.22	$3.22	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.33 / $8.36	Professional		$3.22	$3.33	$8.36
United Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.41 / $4.47	Professional		$3.22	$3.41	$4.47