Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $12.66 / $56.97	Facility		$0.02	$12.66	$56.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.66 / $12.66 / $14.35	Professional		$12.66	$12.66	$14.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $30.15	Facility		$0.02	$0.02	$30.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $30.15 / $40.70	Professional		$14.00	$30.15	$40.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.45 / $13.45 / $13.45	Facility		$13.45	$13.45	$13.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.45 / $13.45 / $13.45	Professional		$13.45	$13.45	$13.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.15 / $30.15 / $30.15	Facility		$30.15	$30.15	$30.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.15 / $30.15 / $82.91	Professional		$30.15	$30.15	$82.91
United Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $17.50 / $18.73	Professional		$17.50	$17.50	$18.73