Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.76 / $10.76 / $18.29	Facility		$10.76	$10.76	$18.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $10.76 / $10.78	Professional		$10.76	$10.76	$10.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.18 / $12.69 / $21.52	Facility		$12.18	$12.69	$21.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.14 / $10.76 / $10.76	Professional		$9.14	$10.76	$10.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.76 / $10.76 / $17.22	Facility		$10.76	$10.76	$17.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $11.30 / $15.06	Professional		$10.76	$11.30	$15.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.76 / $10.76 / $85.00	Facility		$10.76	$10.76	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $10.76 / $19.16	Professional		$8.46	$10.76	$19.16
United Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $10.76 / $10.76	Professional		$10.76	$10.76	$10.76