Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $69.22 / $114.42	Facility		$10.00	$69.22	$114.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.80 / $31.79	Professional		$10.00	$15.80	$31.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.73 / $20.73 / $68.73	Facility		$20.73	$20.73	$68.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.77 / $20.73 / $29.43	Professional		$16.77	$20.73	$29.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.44 / $42.44 / $23,215.05	Facility		$31.44	$42.44	$23,215.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.44 / $33.01 / $36.15	Professional		$31.44	$33.01	$36.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.36 / $27.36 / $27.36	Professional		$27.36	$27.36	$27.36
United Facility/Professional Professional Modifier Low / Median / High Price $13.51 / $19.59 / $29.40	Professional		$13.51	$19.59	$29.40