Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $25.12 / $58.88	Facility		$15.85	$25.12	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $15.14	Professional		$10.00	$12.88	$15.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $47.86	Facility		$15.85	$15.85	$47.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.89 / $12.02	Professional		$5.01	$5.89	$12.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $229.09 / $43,651.58	Facility		$10.96	$229.09	$43,651.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $15.85 / $15.85	Facility		$10.47	$15.85	$15.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $18.20 / $22.91	Professional		$7.41	$18.20	$22.91
United Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $15.85 / $15.85	Facility		$7.24	$15.85	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $9.55 / $15.85	Professional		$6.76	$9.55	$15.85