Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.83 / $14.16 / $27.36	Facility		$5.83	$14.16	$27.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $5.83 / $5.83	Professional		$5.77	$5.83	$5.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.77 / $11.54 / $15.29	Facility		$5.77	$11.54	$15.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $5.77 / $8.19	Professional		$4.90	$5.77	$8.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.77 / $5.77 / $8.66	Facility		$5.77	$5.77	$8.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $5.77 / $7.21	Professional		$5.77	$5.77	$7.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.77 / $5.77 / $5.77	Facility		$5.77	$5.77	$5.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $5.77 / $16.23	Professional		$5.77	$5.77	$16.23
United Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $5.77 / $9.81	Professional		$5.77	$5.77	$9.81