Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.92 / $2.92 / $4.96	Facility		$2.92	$2.92	$4.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.92 / $2.92 / $2.92	Professional		$2.92	$2.92	$2.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.30 / $3.44 / $5.84	Facility		$3.30	$3.44	$5.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $2.92 / $2.92	Professional		$2.48	$2.92	$2.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.92 / $3.17 / $4.67	Facility		$2.92	$3.17	$4.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.92 / $3.21 / $4.50	Professional		$2.92	$3.21	$4.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.92 / $2.92 / $85.00	Facility		$2.92	$2.92	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.92 / $2.92 / $5.50	Professional		$2.92	$2.92	$5.50
United Facility/Professional Professional Modifier Low / Median / High Price $2.92 / $2.92 / $2.92	Professional		$2.92	$2.92	$2.92