Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.04 / $104.32 / $1,090.47	Facility		$3.04	$104.32	$1,090.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $4.37	Professional		$3.02	$3.02	$4.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.42 / $3.56 / $3.56	Facility		$3.42	$3.56	$3.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $3.02 / $3.02	Professional		$2.56	$3.02	$3.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.32 / $4.83	Facility		$3.02	$3.32	$4.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.17 / $4.23	Professional		$3.02	$3.17	$4.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $85.00	Facility		$3.02	$3.02	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $59.28 / $68.00	Professional		$3.02	$59.28	$68.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.89 / $3.02 / $3.02	Professional		$2.89	$3.02	$3.02