Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.52 / $9.47	Professional		$4.79	$7.52	$9.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.84 / $77.84 / $150.25	Facility		$77.84	$77.84	$150.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.42 / $77.84 / $107.43	Professional		$44.42	$77.84	$107.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.24 / $123.51 / $209.25	Facility		$8.24	$123.51	$209.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $9.69 / $9.69	Facility		$9.69	$9.69	$9.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $54.16 / $54.16	Professional		$40.54	$54.16	$54.16
United Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $19.14 / $19.14	Facility		$19.14	$19.14	$19.14
United Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $9.02 / $16.70	Professional		$7.83	$9.02	$16.70