Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.91 / $119.93 / $1,865.47	Facility		$6.91	$119.93	$1,865.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.05 / $252.52	Professional		$3.02	$3.05	$252.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.17 / $6.04 / $9.06	Facility		$3.17	$6.04	$9.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $3.02 / $4.28	Professional		$2.56	$3.02	$4.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $4.08	Facility		$3.02	$3.02	$4.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.47	Professional		$3.02	$3.02	$3.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Facility		$3.02	$3.02	$3.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $61.15	Professional		$3.02	$3.02	$61.15
United Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $5.13	Professional		$3.02	$3.02	$5.13