Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $11.75 / $24.55	Facility		$10.96	$11.75	$24.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.96 / $14.13	Professional		$10.00	$10.96	$14.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $12.02 / $14.13	Facility		$11.75	$12.02	$14.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $9.33	Professional		$9.33	$9.33	$9.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41,686.94 / $52,480.75 / $63,095.73	Facility		$41,686.94	$52,480.75	$63,095.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Professional		$12.30	$12.30	$12.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $23.44 / $23.44	Facility		$12.30	$23.44	$23.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.59	Professional		$12.02	$12.02	$12.59