Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $4.09 / $6.97	Facility		$4.09	$4.09	$6.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.09 / $4.09	Professional		$4.09	$4.09	$4.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.63 / $4.84 / $8.19	Facility		$4.63	$4.84	$8.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.48 / $4.09 / $4.09	Professional		$3.48	$4.09	$4.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $4.51 / $6.56	Facility		$4.09	$4.51	$6.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.51 / $6.31	Professional		$4.09	$4.51	$6.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $4.09 / $85.00	Facility		$4.09	$4.09	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.28 / $4.09 / $7.34	Professional		$3.28	$4.09	$7.34
United Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $4.09 / $4.09	Facility		$4.09	$4.09	$4.09
United Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.09 / $4.38	Professional		$4.09	$4.09	$4.38