Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.52 / $3.89 / $66.13	Facility		$3.52	$3.89	$66.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $3.52 / $3.89	Professional		$3.52	$3.52	$3.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $4.15 / $7.04	Facility		$3.98	$4.15	$7.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.99 / $3.52 / $3.52	Professional		$2.99	$3.52	$3.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.52 / $3.87 / $5.63	Facility		$3.52	$3.87	$5.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $3.87 / $5.42	Professional		$3.52	$3.87	$5.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.52 / $3.52 / $85.00	Facility		$3.52	$3.52	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $10.50 / $11.52	Professional		$3.52	$10.50	$11.52
United Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $3.52 / $3.52	Professional		$3.52	$3.52	$3.52