Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.95 / $12.95 / $150.00	Facility		$12.95	$12.95	$150.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.07 / $12.95 / $14.91	Professional		$10.07	$12.95	$14.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.59 / $5.00 / $5.74	Facility		$4.59	$5.00	$5.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $5.00 / $7.75	Professional		$4.25	$5.00	$7.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.17 / $21.46 / $41.69	Facility		$17.17	$21.46	$41.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.17 / $19.45 / $23.48	Professional		$17.17	$19.45	$23.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.58 / $14.58 / $22.58	Facility		$14.58	$14.58	$22.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $26.53 / $114.34	Professional		$13.27	$26.53	$114.34
United Facility/Professional Professional Modifier Low / Median / High Price $18.54 / $40.00 / $60.00	Professional		$18.54	$40.00	$60.00