Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $39.81 / $89.13	Facility		$25.70	$39.81	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.95 / $29.51	Professional		$19.05	$19.95	$29.51
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 $12.30 / $15.49 / $25.70	Professional		$12.30	$15.49	$25.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $31.62	Facility		$16.98	$16.98	$31.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $25.70 / $56.23	Facility		$18.20	$25.70	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $46.77 / $52.48	Professional		$18.20	$46.77	$52.48
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 / $15.49 / $25.70	Professional		$10.72	$15.49	$25.70