Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.37 / $32.78 / $105.17	Facility		$23.37	$32.78	$105.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.52 / $23.37 / $27.08	Professional		$22.52	$23.37	$27.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.52 / $25.51 / $85.50	Facility		$22.52	$25.51	$85.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $14.28 / $21.84	Professional		$12.99	$14.28	$21.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.50 / $34.20 / $38.47	Facility		$28.50	$34.20	$38.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $32.78 / $40.40	Professional		$28.50	$32.78	$40.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.53 / $28.50 / $67.91	Facility		$18.53	$28.50	$67.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $32.63 / $64.51	Professional		$12.30	$32.63	$64.51
United Facility/Professional Professional Modifier Low / Median / High Price $7.13 / $12.27 / $28.50	Professional		$7.13	$12.27	$28.50