Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.23 / $34.51 / $101.94	Facility		$4.23	$34.51	$101.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.19 / $14.87	Professional		$4.19	$4.19	$14.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.19 / $8.38 / $10.14	Facility		$4.19	$8.38	$10.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.19 / $5.78	Professional		$4.19	$4.19	$5.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.19 / $4.19 / $6.49	Facility		$4.19	$4.19	$6.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.19 / $6.70	Professional		$4.19	$4.19	$6.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.19 / $4.19 / $11.00	Facility		$4.19	$4.19	$11.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.19 / $87.00	Professional		$4.19	$4.19	$87.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.44 / $5.60	Professional		$4.19	$4.44	$5.60