Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.53 / $54.22 / $184.13	Facility		$12.53	$54.22	$184.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $12.88 / $14.98	Professional		$10.71	$12.88	$14.98
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $28.25 / $28.25 / $28.25	Professional	CQ	$28.25	$28.25	$28.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.84 / $21.06 / $165.00	Facility		$12.84	$21.06	$165.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.91 / $12.84 / $18.89	Professional		$10.91	$12.84	$18.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.69 / $20.03 / $23.37	Facility		$16.69	$20.03	$23.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.69 / $18.44 / $22.53	Professional		$16.69	$18.44	$22.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $80.00 / $212.62	Facility		$65.00	$80.00	$212.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.61 / $24.84 / $114.34	Professional		$14.61	$24.84	$114.34
United Facility/Professional Professional Modifier Low / Median / High Price $14.35 / $16.89 / $24.05	Professional		$14.35	$16.89	$24.05