Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.86 / $23.58 / $94.65	Facility		$6.86	$23.58	$94.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.20 / $4.55	Professional		$2.18	$2.20	$4.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $4.36 / $6.54	Facility		$2.29	$4.36	$6.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $2.18 / $3.09	Professional		$1.85	$2.18	$3.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.18 / $2.18 / $3.49	Facility		$2.18	$2.18	$3.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.18 / $2.73	Professional		$2.18	$2.18	$2.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.18 / $2.18 / $2.18	Facility		$2.18	$2.18	$2.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.18 / $13.31	Professional		$2.18	$2.18	$13.31
United Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.18 / $3.71	Professional		$2.18	$2.18	$3.71