Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.96 / $15.60 / $55.26	Facility		$7.96	$15.60	$55.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $7.88 / $8.77	Professional		$7.88	$7.88	$8.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.88 / $15.76 / $19.07	Facility		$7.88	$15.76	$19.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $7.88 / $10.87	Professional		$7.88	$7.88	$10.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.88 / $7.88 / $11.82	Facility		$7.88	$7.88	$11.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $7.88 / $9.85	Professional		$7.88	$7.88	$9.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.88 / $7.88 / $10.37	Facility		$7.88	$7.88	$10.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $7.88 / $9.28	Professional		$7.88	$7.88	$9.28
United Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $8.35 / $10.53	Professional		$7.88	$8.35	$10.53