Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.07 / $13.07 / $23.44	Facility		$13.07	$13.07	$23.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.43 / $18.14 / $22.01	Professional		$11.43	$18.14	$22.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.90 / $55.90 / $107.89	Facility		$55.90	$55.90	$107.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.72 / $55.90 / $77.14	Professional		$33.72	$55.90	$77.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.28 / $649.24 / $1,072.44	Facility		$43.28	$649.24	$1,072.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.94 / $21.94 / $21.94	Facility		$21.94	$21.94	$21.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.70 / $73.79 / $73.79	Professional		$27.70	$73.79	$73.79
United Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $23.57 / $41.15	Professional		$19.98	$23.57	$41.15