Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.74 / $16.01 / $24.75	Facility		$4.74	$16.01	$24.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.74 / $5.45	Professional		$4.69	$4.74	$5.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $9.38 / $12.43	Facility		$4.69	$9.38	$12.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $4.69 / $6.65	Professional		$3.98	$4.69	$6.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $4.69 / $7.04	Facility		$4.69	$4.69	$7.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $5.86	Professional		$4.69	$4.69	$5.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $4.69 / $4.69	Facility		$4.69	$4.69	$4.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $18.34	Professional		$4.69	$4.69	$18.34
United Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $7.97	Professional		$4.69	$4.69	$7.97