Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.20 / $31.13 / $99.90	Facility		$22.20	$31.13	$99.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.81 / $22.20 / $25.72	Professional		$9.81	$22.20	$25.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.39 / $24.36 / $81.20	Facility		$21.39	$24.36	$81.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $5.40 / $14.60	Professional		$4.07	$5.40	$14.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.07 / $32.57 / $36.54	Facility		$27.07	$32.57	$36.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.07 / $31.13 / $38.36	Professional		$27.07	$31.13	$38.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.14 / $27.07 / $62.89	Facility		$12.14	$27.07	$62.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.67 / $19.25 / $39.24	Professional		$5.67	$19.25	$39.24
United Facility/Professional Professional Modifier Low / Median / High Price $7.03 / $11.37 / $24.36	Professional		$7.03	$11.37	$24.36