Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.10 / $21.24 / $119.54	Facility		$16.10	$21.24	$119.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.25 / $21.50 / $24.73	Professional		$18.25	$21.50	$24.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.73 / $24.19 / $28.25	Facility		$16.73	$24.19	$28.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $16.39 / $27.30	Professional		$10.75	$16.39	$27.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.26 / $37.63 / $44.35	Facility		$32.26	$37.63	$44.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.91 / $36.29 / $53.76	Professional		$30.91	$36.29	$53.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.47 / $20.92 / $50.00	Facility		$17.47	$20.92	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.15 / $33.61 / $130.37	Professional		$12.15	$33.61	$130.37
United Facility/Professional Professional Modifier Low / Median / High Price $11.64 / $16.53 / $29.57	Professional		$11.64	$16.53	$29.57