Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.78 / $16.80 / $58.80	Facility		$13.78	$16.80	$58.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $15.01 / $16.80	Professional		$13.27	$15.01	$16.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.27 / $15.12 / $50.40	Facility		$13.27	$15.12	$50.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.64 / $8.30 / $12.33	Professional		$7.64	$8.30	$12.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $20.16 / $22.68	Facility		$16.80	$20.16	$22.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $19.32 / $23.81	Professional		$16.80	$19.32	$23.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.29 / $16.80 / $43.61	Facility		$12.29	$16.80	$43.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $19.41 / $42.52	Professional		$11.06	$19.41	$42.52
United Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $10.08 / $16.80	Professional		$7.06	$10.08	$16.80