Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.85 / $23.85 / $27.84	Facility		$23.85	$23.85	$27.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $16.70 / $23.85	Professional		$12.12	$16.70	$23.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.35 / $12.35 / $23.84	Facility		$12.35	$12.35	$23.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $12.35 / $17.53	Professional		$12.35	$12.35	$17.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.84 / $36.19 / $41.76	Facility		$27.84	$36.19	$41.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.23 / $33.40 / $41.76	Professional		$29.23	$33.40	$41.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $14.22 / $28.56	Professional		$14.22	$14.22	$28.56
United Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $13.89 / $21.59	Professional		$7.87	$13.89	$21.59