Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.55 / $64.26 / $149.94	Facility		$17.55	$64.26	$149.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.92 / $17.55 / $176.08	Professional		$16.92	$17.55	$176.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.92 / $21.42 / $64.26	Facility		$16.92	$21.42	$64.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.13 / $12.13 / $26.21	Professional		$12.13	$12.13	$26.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.42 / $25.70 / $29.99	Facility		$21.42	$25.70	$29.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $23.56 / $30.36	Professional		$21.42	$23.56	$30.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.19 / $21.42 / $55.33	Facility		$17.19	$21.42	$55.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.66 / $21.95 / $48.20	Professional		$13.66	$21.95	$48.20
United Facility/Professional Facility Modifier Low / Median / High Price $117.86 / $117.86 / $117.86	Facility		$117.86	$117.86	$117.86
United Facility/Professional Professional Modifier Low / Median / High Price $12.85 / $21.13 / $38.56	Professional		$12.85	$21.13	$38.56