Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $19.84 / $33.72	Facility		$17.23	$19.84	$33.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $19.84 / $22.04	Professional		$19.84	$19.84	$22.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.46 / $23.40 / $23.41	Facility		$22.46	$23.40	$23.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $19.84 / $19.84	Professional		$16.86	$19.84	$19.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.84 / $21.44 / $31.74	Facility		$19.84	$21.44	$31.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $21.82 / $30.55	Professional		$19.84	$21.82	$30.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.84 / $19.84 / $85.00	Facility		$19.84	$19.84	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.14 / $19.84 / $57.96	Professional		$14.14	$19.84	$57.96
United Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $19.84 / $19.84	Professional		$19.84	$19.84	$19.84