Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.24 / $4.24 / $5,296.06	Facility		$4.24	$4.24	$5,296.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $4.24 / $5.34	Professional		$4.24	$4.24	$5.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.80 / $5.00 / $8.48	Facility		$4.80	$5.00	$8.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $4.24 / $4.24	Professional		$3.60	$4.24	$4.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.24 / $4.58 / $6.78	Facility		$4.24	$4.58	$6.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $4.66 / $6.53	Professional		$4.24	$4.66	$6.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.24 / $4.24 / $85.00	Facility		$4.24	$4.24	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $4.24 / $7.74	Professional		$3.24	$4.24	$7.74
United Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $4.24 / $4.24	Professional		$4.24	$4.24	$4.24