Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.88 / $662.32 / $1,106.30	Facility		$14.88	$662.32	$1,106.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.88 / $14.88	Professional		$14.73	$14.88	$14.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.47 / $29.46 / $44.19	Facility		$15.47	$29.46	$44.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.52 / $14.73 / $20.91	Professional		$12.52	$14.73	$20.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.73 / $14.73 / $22.10	Facility		$14.73	$14.73	$22.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $22.83	Professional		$14.73	$14.73	$22.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.73 / $14.73 / $14.73	Facility		$14.73	$14.73	$14.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $17.04	Professional		$14.73	$14.73	$17.04
United Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $18.27	Professional		$14.73	$14.73	$18.27