Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $3.04 / $20.00	Professional		$3.04	$3.04	$20.00
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 / $5.71 / $21.60	Professional		$5.00	$5.71	$21.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $16.80 / $24.00	Facility		$16.00	$16.80	$24.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $16.80 / $16.80	Professional		$16.80	$16.80	$16.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $8.32	Professional		$8.32	$8.32	$8.32
United Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $16.80 / $27.58	Professional		$13.60	$16.80	$27.58