Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.99 / $33.60 / $62.63	Facility		$3.99	$33.60	$62.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.95 / $3.99 / $3.99	Professional		$3.95	$3.99	$3.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.15 / $7.90 / $11.85	Facility		$4.15	$7.90	$11.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $3.95 / $5.60	Professional		$3.35	$3.95	$5.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.95 / $3.95 / $5.33	Facility		$3.95	$3.95	$5.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.95 / $3.95 / $4.54	Professional		$3.95	$3.95	$4.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.95 / $3.95 / $3.95	Facility		$3.95	$3.95	$3.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.84 / $3.95 / $9.60	Professional		$2.84	$3.95	$9.60
United Facility/Professional Professional Modifier Low / Median / High Price $3.95 / $3.95 / $4.90	Professional		$3.95	$3.95	$4.90