Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.57 / $33.43 / $115.07	Facility		$25.57	$33.43	$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 / $39.60 / $183.72	Facility		$14.83	$39.60	$183.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.83 / $14.83 / $19.97	Professional		$14.83	$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 / $26.07 / $34.01	Professional		$22.67	$26.07	$34.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.10 / $33.43 / $84.69	Facility		$24.10	$33.43	$84.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $17.67 / $40.61	Professional		$8.83	$17.67	$40.61
United Facility/Professional Facility Modifier Low / Median / High Price $131.90 / $131.90 / $131.90	Facility		$131.90	$131.90	$131.90
United Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $13.93 / $26.51	Professional		$11.12	$13.93	$26.51