Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.23 / $4.23 / $7.19	Facility		$4.23	$4.23	$7.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $4.23 / $4.24	Professional		$4.23	$4.23	$4.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.99 / $8.46	Facility		$4.79	$4.99	$8.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.59 / $4.23 / $4.23	Professional		$3.59	$4.23	$4.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.23 / $4.58 / $6.77	Facility		$4.23	$4.58	$6.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $4.65 / $6.51	Professional		$4.23	$4.65	$6.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.23 / $4.23 / $85.00	Facility		$4.23	$4.23	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.18 / $4.23 / $7.60	Professional		$3.18	$4.23	$7.60
United Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $4.23 / $4.23	Professional		$4.23	$4.23	$4.23