Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.87 / $4.87 / $5.99	Facility		$4.87	$4.87	$5.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $4.87 / $4.87	Professional		$4.87	$4.87	$4.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.04	Facility		$0.02	$0.02	$0.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $4.80 / $4.80	Professional		$4.80	$4.80	$4.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.87 / $4.87 / $4.87	Facility		$4.87	$4.87	$4.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $4.87 / $4.87	Professional		$4.87	$4.87	$4.87
United Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $5.73	Professional		$5.73	$5.73	$5.73
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $5.36 / $6.82	Professional		$4.87	$5.36	$6.82