Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.96 / $26.96 / $26.96	Facility		$26.96	$26.96	$26.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.91 / $28.86 / $138.16	Professional		$25.91	$28.86	$138.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.97 / $102.97 / $198.73	Facility		$102.97	$102.97	$198.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.33 / $89.34 / $138.72	Professional		$69.33	$89.34	$138.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.19 / $28.85 / $33.15	Facility		$28.19	$28.85	$33.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.81 / $24.81 / $24.81	Professional		$24.81	$24.81	$24.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.19 / $33.19 / $33.19	Facility		$33.19	$33.19	$33.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.40 / $34.51 / $54.19	Professional		$26.40	$34.51	$54.19
United Facility/Professional Professional Modifier Low / Median / High Price $25.03 / $31.36 / $47.04	Professional		$25.03	$31.36	$47.04