Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.20 / $20.37 / $34.52	Facility		$12.20	$20.37	$34.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.20 / $26.92 / $34.52	Professional		$12.20	$26.92	$34.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.27 / $36.27 / $36.27	Facility		$36.27	$36.27	$36.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.93 / $23.89 / $23.89	Professional		$15.93	$23.89	$23.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.04 / $42.90 / $79.31	Facility		$26.04	$42.90	$79.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.64 / $36.77 / $61.28	Professional		$30.64	$36.77	$61.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.50 / $42.50 / $42.50	Facility		$42.50	$42.50	$42.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $174.82 / $174.82	Professional		$21.60	$174.82	$174.82
United Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $24.67 / $34.56	Professional		$18.10	$24.67	$34.56