Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.83 / $33.94 / $112.00	Facility		$27.83	$33.94	$112.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.47 / $28.51 / $32.04	Professional		$26.47	$28.51	$32.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.81 / $32.35 / $101.82	Facility		$26.81	$32.35	$101.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.76 / $16.76 / $25.14	Professional		$16.76	$16.76	$25.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.94 / $40.72 / $45.82	Facility		$33.94	$40.72	$45.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.94 / $39.03 / $48.11	Professional		$33.94	$39.03	$48.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.84 / $33.94 / $88.04	Facility		$24.84	$33.94	$88.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $39.24 / $64.90	Professional		$22.35	$39.24	$64.90
United Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $20.75 / $33.94	Professional		$14.25	$20.75	$33.94