Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $21.48 / $36.52	Facility		$21.48	$21.48	$36.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $22.62	Professional		$21.48	$21.48	$22.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.32 / $25.34 / $42.96	Facility		$24.32	$25.34	$42.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $21.48 / $21.48	Professional		$16.11	$21.48	$21.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $23.63 / $34.36	Facility		$21.48	$23.63	$34.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $23.63 / $33.08	Professional		$21.48	$23.63	$33.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $21.48 / $85.00	Facility		$21.48	$21.48	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $26.73 / $43.96	Professional		$21.48	$26.73	$43.96
United Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $21.48	Professional		$21.48	$21.48	$21.48