Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.08 / $20.20 / $34.22	Facility		$12.08	$20.20	$34.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $26.69 / $34.22	Professional		$12.08	$26.69	$34.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.96 / $35.96 / $35.96	Facility		$35.96	$35.96	$35.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $23.67 / $23.67	Professional		$15.43	$23.67	$23.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.71 / $51.71 / $51.71	Facility		$51.71	$51.71	$51.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.35 / $36.70 / $60.70	Professional		$30.35	$36.70	$60.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.14 / $42.14 / $42.14	Facility		$42.14	$42.14	$42.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $173.33 / $173.33	Professional		$16.14	$173.33	$173.33
United Facility/Professional Professional Modifier Low / Median / High Price $17.94 / $26.44 / $38.58	Professional		$17.94	$26.44	$38.58