Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $21.05 / $94.73	Facility		$0.02	$21.05	$94.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $21.05	Professional		$21.05	$21.05	$21.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $21.05	Facility		$0.02	$0.02	$21.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $21.05 / $28.41	Professional		$17.89	$21.05	$28.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.34 / $20.34 / $20.34	Facility		$20.34	$20.34	$20.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.34 / $20.34 / $20.34	Professional		$20.34	$20.34	$20.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $21.05 / $21.05	Facility		$21.05	$21.05	$21.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $57.89	Professional		$21.05	$21.05	$57.89
United Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $26.31	Professional		$21.05	$21.05	$26.31