Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.14 / $12.14 / $20.64	Facility		$12.14	$12.14	$20.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $12.14 / $12.26	Professional		$12.14	$12.14	$12.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.74 / $14.31 / $24.28	Facility		$13.74	$14.31	$24.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.31 / $12.14 / $12.14	Professional		$10.31	$12.14	$12.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.14 / $13.35 / $19.42	Facility		$12.14	$13.35	$19.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $13.35 / $18.70	Professional		$12.14	$13.35	$18.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.14 / $12.14 / $12.32	Facility		$12.14	$12.14	$12.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $23.04 / $23.04	Professional		$12.14	$23.04	$23.04
United Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $12.14 / $12.14	Professional		$12.14	$12.14	$12.14