Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.79 / $25.43 / $249.93	Facility		$12.79	$25.43	$249.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $12.79 / $14.04	Professional		$10.59	$12.79	$14.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.32 / $14.04 / $46.80	Facility		$12.32	$14.04	$46.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $6.32 / $10.76	Professional		$5.75	$6.32	$10.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.60 / $18.72 / $21.06	Facility		$15.60	$18.72	$21.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.60 / $17.94 / $22.11	Professional		$15.60	$17.94	$22.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.14 / $15.60 / $36.04	Facility		$10.14	$15.60	$36.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.89 / $17.76 / $37.06	Professional		$7.89	$17.76	$37.06
United Facility/Professional Facility Modifier Low / Median / High Price $15.60 / $15.60 / $39.08	Facility		$15.60	$15.60	$39.08
United Facility/Professional Professional Modifier Low / Median / High Price $6.55 / $9.61 / $19.23	Professional		$6.55	$9.61	$19.23