Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $4.69 / $7.97	Facility		$4.69	$4.69	$7.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $5.45	Professional		$4.69	$4.69	$5.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.32 / $5.54 / $9.38	Facility		$5.32	$5.54	$9.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $4.69 / $4.69	Professional		$3.98	$4.69	$4.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $5.16 / $7.50	Facility		$4.69	$5.16	$7.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $5.16 / $7.22	Professional		$4.69	$5.16	$7.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $4.69 / $18.39	Facility		$4.69	$4.69	$18.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $13.38 / $13.38	Professional		$4.69	$13.38	$13.38
United Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $4.69	Professional		$4.69	$4.69	$4.69