Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.53 / $25.53 / $25.53	Facility		$25.53	$25.53	$25.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.71 / $25.95 / $32.89	Professional		$23.71	$25.95	$32.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.00 / $147.88 / $208.44	Facility		$108.00	$147.88	$208.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.76 / $108.00 / $153.36	Professional		$85.76	$108.00	$153.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.34 / $12.14 / $20.35	Facility		$9.34	$12.14	$20.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $11.68 / $14.01	Professional		$9.34	$11.68	$14.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.99 / $31.99 / $31.99	Facility		$31.99	$31.99	$31.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.54 / $35.56 / $58.99	Professional		$23.54	$35.56	$58.99
United Facility/Professional Facility Modifier Low / Median / High Price $13.37 / $50.12 / $63.49	Facility		$13.37	$50.12	$63.49
United Facility/Professional Professional Modifier Low / Median / High Price $45.03 / $56.88 / $98.71	Professional		$45.03	$56.88	$98.71