Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $35.48 / $257.04	Facility		$18.62	$35.48	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.79 / $26.30	Professional		$12.30	$14.79	$26.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $56.23	Facility		$18.62	$18.62	$56.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $7.41 / $15.49	Professional		$5.50	$7.41	$15.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $18.62 / $23.99	Facility		$12.02	$18.62	$23.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $18.62 / $22.39	Professional		$12.02	$18.62	$22.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $18.62 / $35.48	Facility		$12.02	$18.62	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $17.38 / $33.88	Professional		$9.12	$17.38	$33.88
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $18.62 / $18.62	Facility		$8.32	$18.62	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $11.22 / $18.62	Professional		$7.76	$11.22	$18.62