Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.70 / $55.99 / $102.78	Facility		$21.70	$55.99	$102.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.70 / $22.62	Professional		$21.48	$21.70	$22.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $42.96 / $56.92	Facility		$21.48	$42.96	$56.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.10 / $6.10 / $21.48	Professional		$6.10	$6.10	$21.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $21.48 / $29.00	Facility		$21.48	$21.48	$29.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $26.85	Professional		$21.48	$21.48	$26.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $21.48 / $21.48	Facility		$21.48	$21.48	$21.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $64.16	Professional		$21.48	$21.48	$64.16
United Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $42.96	Professional		$21.48	$21.48	$42.96