Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.60 / $9.60 / $9.60	Facility		$9.60	$9.60	$9.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $9.60 / $12.00	Professional		$9.60	$9.60	$12.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.00 / $9.65	Facility		$5.00	$5.00	$9.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $6.90	Professional		$5.00	$5.00	$6.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.67 / $108.54 / $136.07	Facility		$104.67	$108.54	$136.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.41 / $125.60 / $157.00	Professional		$81.41	$125.60	$157.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.83 / $104.83 / $104.83	Facility		$104.83	$104.83	$104.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.53 / $195.53 / $195.53	Professional		$195.53	$195.53	$195.53