Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.87 / $48.95 / $120.92	Facility		$26.87	$48.95	$120.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $26.87 / $31.13	Professional		$20.00	$26.87	$31.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.89 / $29.33 / $98.31	Facility		$25.89	$29.33	$98.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $13.11 / $18.61	Professional		$9.61	$13.11	$18.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.77 / $39.32 / $44.24	Facility		$32.77	$39.32	$44.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.77 / $37.69 / $46.45	Professional		$32.77	$37.69	$46.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.30 / $32.77 / $76.30	Facility		$21.30	$32.77	$76.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.23 / $29.52 / $46.98	Professional		$15.23	$29.52	$46.98
United Facility/Professional Facility Modifier Low / Median / High Price $32.77 / $32.77 / $32.77	Facility		$32.77	$32.77	$32.77
United Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $19.66 / $32.77	Professional		$13.76	$19.66	$32.77