Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.04 / $103.68 / $109.03	Facility		$23.04	$103.68	$109.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.37 / $23.04 / $28.08	Professional		$14.37	$23.04	$28.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.39 / $32.40 / $1,467.02	Facility		$13.39	$32.40	$1,467.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $13.39 / $18.03	Professional		$12.80	$13.39	$18.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $26.36 / $52.65	Facility		$17.23	$26.36	$52.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.28 / $24.34 / $30.42	Professional		$20.28	$24.34	$30.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.76 / $109.03 / $109.03	Facility		$21.76	$109.03	$109.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $15.03 / $31.43	Professional		$4.07	$15.03	$31.43
United Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $12.55 / $20.47	Professional		$10.19	$12.55	$20.47