Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $33.88	Facility		$19.95	$19.95	$33.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $28.84 / $33.88	Professional		$15.85	$28.84	$33.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $23.44 / $23.44	Professional		$15.49	$23.44	$23.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $39.81	Professional		$30.20	$30.20	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $26.92 / $38.90	Professional		$12.30	$26.92	$38.90