Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.45 / $11.61 / $33.03	Facility		$4.45	$11.61	$33.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $6.83 / $6.83	Professional		$4.45	$6.83	$6.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.73 / $8.05 / $8.06	Facility		$7.73	$8.05	$8.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.80 / $6.83 / $6.83	Professional		$5.80	$6.83	$6.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.83 / $7.38 / $10.93	Facility		$6.83	$7.38	$10.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $7.51 / $10.52	Professional		$6.83	$7.51	$10.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.83 / $6.83 / $85.00	Facility		$6.83	$6.83	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $15.24 / $17.96	Professional		$6.83	$15.24	$17.96
United Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $6.83 / $6.83	Professional		$6.83	$6.83	$6.83