Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $2.50 / $2.50	Facility		$2.50	$2.50	$2.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $2.50	Professional		$2.49	$2.49	$2.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.49 / $2.49 / $4.80	Facility		$2.49	$2.49	$4.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $3.53	Professional		$2.49	$2.49	$3.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.49 / $2.49 / $3.86	Facility		$2.49	$2.49	$3.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $2.99	Professional		$2.49	$2.49	$2.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.49 / $2.49 / $2.49	Facility		$2.49	$2.49	$2.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $12.75	Professional		$2.49	$2.49	$12.75
United Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $3.74	Professional		$2.49	$2.49	$3.74