Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.75 / $17.75 / $17.75	Facility		$17.75	$17.75	$17.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.75 / $19.95 / $30.85	Professional		$17.75	$19.95	$30.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.65 / $37.65 / $790.49	Facility		$37.65	$37.65	$790.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.67 / $33.78 / $50.73	Professional		$26.67	$33.78	$50.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.01 / $21.26 / $23.81	Facility		$17.01	$21.26	$23.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.01 / $19.55 / $24.41	Professional		$17.01	$19.55	$24.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.32 / $21.32 / $21.32	Facility		$21.32	$21.32	$21.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $33.15 / $50.79	Professional		$19.30	$33.15	$50.79
United Facility/Professional Professional Modifier Low / Median / High Price $16.87 / $26.96 / $41.26	Professional		$16.87	$26.96	$41.26