Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $39.81 / $93.33	Facility		$25.70	$39.81	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $20.89 / $114.82	Professional		$19.05	$20.89	$114.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $75.86	Facility		$25.70	$25.70	$75.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.59 / $25.70	Professional		$12.02	$12.59	$25.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $31.62	Facility		$17.38	$17.38	$31.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $25.70 / $66.07	Facility		$16.60	$25.70	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $18.20 / $54.95	Professional		$12.88	$18.20	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $25.70 / $25.70	Facility		$11.48	$25.70	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $16.22 / $28.18	Professional		$10.72	$16.22	$28.18