Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.42 / $31.18 / $428.90	Facility		$13.42	$31.18	$428.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.42 / $13.42	Professional		$13.29	$13.42	$13.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.29 / $26.58 / $35.22	Facility		$13.29	$26.58	$35.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $13.29 / $18.87	Professional		$11.29	$13.29	$18.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.29 / $13.29 / $19.94	Facility		$13.29	$13.29	$19.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.29 / $16.61	Professional		$13.29	$13.29	$16.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.29 / $13.29 / $13.29	Facility		$13.29	$13.29	$13.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $13.29 / $35.72	Professional		$12.48	$13.29	$35.72
United Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.29 / $16.48	Professional		$13.29	$13.29	$16.48