Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.80 / $20.76 / $121.94	Facility		$14.80	$20.76	$121.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $14.80 / $17.14	Professional		$13.06	$14.80	$17.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.26 / $16.25 / $54.15	Facility		$14.26	$16.25	$54.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $18.05	Professional		$8.91	$8.91	$18.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $21.71 / $24.37	Facility		$18.05	$21.71	$24.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $20.76 / $25.59	Professional		$18.05	$20.76	$25.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.48 / $18.05 / $46.96	Facility		$14.48	$18.05	$46.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.42 / $16.32 / $25.81	Professional		$11.42	$16.32	$25.81
United Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $10.83 / $18.05	Professional		$7.58	$10.83	$18.05