Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.33 / $13.70 / $34.35	Facility		$4.33	$13.70	$34.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $4.33 / $5.45	Professional		$4.29	$4.33	$5.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.29 / $8.58 / $10.38	Facility		$4.29	$8.58	$10.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $4.29 / $5.92	Professional		$4.29	$4.29	$5.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.29 / $4.29 / $6.44	Facility		$4.29	$4.29	$6.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $4.29 / $5.36	Professional		$4.29	$4.29	$5.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.29 / $4.29 / $7.16	Facility		$4.29	$4.29	$7.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $4.29 / $6.07	Professional		$4.29	$4.29	$6.07
United Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $4.29 / $5.71	Professional		$4.29	$4.29	$5.71