Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.07 / $62.28 / $170.97	Facility		$13.07	$62.28	$170.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $11.47 / $11.68	Professional		$11.36	$11.47	$11.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.93 / $22.72 / $34.08	Facility		$11.93	$22.72	$34.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.65 / $11.36 / $16.13	Professional		$9.65	$11.36	$16.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.36 / $11.36 / $16.93	Facility		$11.36	$11.36	$16.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $11.36 / $13.06	Professional		$11.36	$11.36	$13.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.36 / $11.36 / $11.36	Facility		$11.36	$11.36	$11.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $11.36 / $43.64	Professional		$11.36	$11.36	$43.64
United Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $11.36 / $15.17	Professional		$11.36	$11.36	$15.17