Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.67 / $5.67 / $22.99	Facility		$3.67	$5.67	$22.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.67 / $5.61	Professional		$3.63	$3.67	$5.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $7.26 / $9.61	Facility		$3.63	$7.26	$9.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.08 / $3.63 / $5.15	Professional		$3.08	$3.63	$5.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $5.45	Facility		$3.63	$3.63	$5.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $4.94	Professional		$3.63	$3.63	$4.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $3.63	Facility		$3.63	$3.63	$3.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $26.35	Professional		$3.63	$3.63	$26.35
United Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $7.26	Professional		$3.63	$3.63	$7.26