Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $9.05 / $20.47	Facility		$4.00	$9.05	$20.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.67 / $9.05 / $9.05	Professional		$5.67	$9.05	$9.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.25 / $10.68 / $10.68	Facility		$10.25	$10.68	$10.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.69 / $9.05 / $9.05	Professional		$7.69	$9.05	$9.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.05 / $9.84 / $14.48	Facility		$9.05	$9.84	$14.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $9.50 / $13.94	Professional		$9.05	$9.50	$13.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.05 / $9.05 / $85.00	Facility		$9.05	$9.05	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $9.05 / $20.91	Professional		$5.58	$9.05	$20.91
United Facility/Professional Professional Modifier Low / Median / High Price $8.56 / $9.05 / $9.05	Professional		$8.56	$9.05	$9.05