Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.73 / $143.50 / $459.65	Facility		$18.73	$143.50	$459.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.83 / $18.73 / $22.83	Professional		$11.83	$18.73	$22.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.40 / $12.80 / $809.79	Facility		$6.40	$12.80	$809.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.04 / $6.40 / $10.80	Professional		$5.04	$6.40	$10.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.70 / $21.48 / $26.33	Facility		$16.70	$21.48	$26.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.70 / $19.21 / $25.05	Professional		$16.70	$19.21	$25.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.55 / $143.50 / $143.50	Facility		$17.55	$143.50	$143.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.55 / $13.62 / $29.83	Professional		$7.55	$13.62	$29.83
United Facility/Professional Professional Modifier Low / Median / High Price $8.35 / $11.22 / $16.64	Professional		$8.35	$11.22	$16.64