Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.99 / $22.99 / $115.07	Facility		$22.99	$22.99	$115.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $25.57 / $31.16	Professional		$16.05	$25.57	$31.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.83 / $32.40 / $133.93	Facility		$14.83	$32.40	$133.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $14.83 / $19.97	Professional		$12.80	$14.83	$19.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.67 / $29.15 / $35.10	Facility		$22.67	$29.15	$35.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.67 / $27.20 / $34.01	Professional		$22.67	$27.20	$34.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.99 / $22.99 / $84.69	Facility		$22.99	$22.99	$84.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $16.68 / $32.65	Professional		$3.22	$16.68	$32.65
United Facility/Professional Facility Modifier Low / Median / High Price $20.53 / $20.53 / $21.24	Facility		$20.53	$20.53	$21.24
United Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $14.10 / $21.87	Professional		$11.11	$14.10	$21.87