Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.79 / $13.75 / $39.68	Facility		$5.79	$13.75	$39.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $6.30	Professional		$5.73	$5.73	$6.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $11.46 / $13.87	Facility		$5.73	$11.46	$13.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $7.90	Professional		$5.73	$5.73	$7.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $5.73 / $8.60	Facility		$5.73	$5.73	$8.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $7.16	Professional		$5.73	$5.73	$7.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $5.73 / $7.45	Facility		$5.73	$5.73	$7.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $6.49	Professional		$5.73	$5.73	$6.49
United Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $6.07 / $6.49	Professional		$5.73	$6.07	$6.49