Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.61 / $19.04 / $70.25	Facility		$15.61	$19.04	$70.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.08 / $15.99 / $17.98	Professional		$14.08	$15.99	$17.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.04 / $17.14 / $57.12	Facility		$15.04	$17.14	$57.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.95 / $7.43 / $13.14	Professional		$5.95	$7.43	$13.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.04 / $22.88 / $25.70	Facility		$19.04	$22.88	$25.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.04 / $21.90 / $26.99	Professional		$19.04	$21.90	$26.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.94 / $19.04 / $49.48	Facility		$13.94	$19.04	$49.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.54 / $21.89 / $50.54	Professional		$12.54	$21.89	$50.54
United Facility/Professional Facility Modifier Low / Median / High Price $19.04 / $19.04 / $78.53	Facility		$19.04	$19.04	$78.53
United Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $11.42 / $20.92	Professional		$8.00	$11.42	$20.92