Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $66.09 / $616.29	Facility		$5.05	$66.09	$616.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $6.37	Professional		$5.05	$5.05	$6.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.72 / $5.96 / $7.16	Facility		$5.72	$5.96	$7.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $5.05 / $5.05	Professional		$4.30	$5.05	$5.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $5.57 / $8.10	Facility		$5.05	$5.57	$8.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.31 / $7.08	Professional		$5.05	$5.31	$7.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $5.05 / $85.00	Facility		$5.05	$5.05	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $10.88 / $12.66	Professional		$5.05	$10.88	$12.66
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.36 / $57.79	Professional		$5.05	$5.36	$57.79