Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $40.74 / $72.44	Facility		$23.99	$40.74	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.99 / $30.20	Professional		$19.95	$23.99	$30.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $30.20 / $31.62	Facility		$25.12	$30.20	$31.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $27.54	Professional		$16.22	$16.22	$27.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $41.69 / $57.54	Facility		$30.20	$41.69	$57.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.90 / $50.12	Professional		$32.36	$38.90	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $50.12 / $50.12	Facility		$19.50	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $43.65 / $144.54	Professional		$13.80	$43.65	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $18.20 / $30.20	Professional		$12.59	$18.20	$30.20