Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $25.12 / $35.48	Facility		$23.99	$25.12	$35.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $25.12	Professional		$23.99	$23.99	$25.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $28.84 / $28.84	Facility		$0.03	$28.84	$28.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $30.90	Facility		$19.50	$19.50	$30.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $20.42 / $26.92	Professional		$19.50	$20.42	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $34.67	Professional		$29.51	$29.51	$34.67