Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.63 / $5.25	Facility		$2.00	$2.63	$5.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.63	Professional		$2.00	$2.00	$2.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.16 / $5.01	Facility		$3.02	$3.16	$5.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.63 / $2.63	Professional		$2.24	$2.63	$2.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $2.63 / $4.27	Facility		$2.63	$2.63	$4.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $2.75 / $3.72	Professional		$2.63	$2.75	$3.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $3.72 / $3.72	Facility		$2.63	$3.72	$3.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $11.22 / $11.22	Professional		$2.63	$11.22	$11.22
United Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $2.63 / $2.63	Professional		$2.63	$2.63	$2.63