Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.83 / $19.39 / $256.00	Facility		$13.83	$19.39	$256.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $15.00 / $15.93	Professional		$8.93	$15.00	$15.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.33 / $15.18 / $50.61	Facility		$13.33	$15.18	$50.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.86 / $7.70 / $11.55	Professional		$3.86	$7.70	$11.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.87 / $20.23 / $22.77	Facility		$16.87	$20.23	$22.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.87 / $19.39 / $23.91	Professional		$16.87	$19.39	$23.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.34 / $16.87 / $43.61	Facility		$12.34	$16.87	$43.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $19.41 / $35.85	Professional		$11.11	$19.41	$35.85
United Facility/Professional Professional Modifier Low / Median / High Price $7.09 / $10.11 / $18.54	Professional		$7.09	$10.11	$18.54