Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.85 / $30.65 / $98.33	Facility		$21.85	$30.65	$98.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.85 / $23.99	Professional		$21.05	$21.85	$23.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $23.99 / $79.95	Facility		$21.05	$23.99	$79.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.63 / $12.66 / $19.55	Professional		$11.63	$12.66	$19.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.65 / $31.98 / $35.97	Facility		$26.65	$31.98	$35.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.65 / $30.65 / $37.78	Professional		$26.65	$30.65	$37.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $26.65 / $63.72	Facility		$18.00	$26.65	$63.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $30.56 / $60.98	Professional		$16.20	$30.56	$60.98
United Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $15.99 / $26.65	Professional		$11.19	$15.99	$26.65