Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.77 / $5.77 / $9.81	Facility		$5.77	$5.77	$9.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.76 / $5.77 / $6.08	Professional		$5.76	$5.77	$6.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.54 / $6.81 / $11.54	Facility		$6.54	$6.81	$11.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $5.77 / $5.77	Professional		$4.90	$5.77	$5.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.77 / $6.32 / $9.23	Facility		$5.77	$6.32	$9.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $6.35 / $8.89	Professional		$5.77	$6.35	$8.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.77 / $5.77 / $85.00	Facility		$5.77	$5.77	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $6.25 / $208.60	Professional		$5.77	$6.25	$208.60
United Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $5.77 / $5.77	Professional		$5.77	$5.77	$5.77