Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.87 / $22.87 / $25.19	Facility		$22.87	$22.87	$25.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $15.75 / $22.87	Professional		$10.53	$15.75	$22.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.80 / $12.80 / $24.70	Facility		$12.80	$12.80	$24.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $12.80 / $18.17	Professional		$12.80	$12.80	$18.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.19 / $32.75 / $37.79	Facility		$25.19	$32.75	$37.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $30.23 / $35.52	Professional		$25.19	$30.23	$35.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $15.09 / $27.31	Professional		$15.09	$15.09	$27.31
United Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $14.26 / $22.64	Professional		$8.77	$14.26	$22.64