Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.04 / $18.18 / $37.72	Facility		$4.04	$18.18	$37.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $9.05 / $9.14	Professional		$8.00	$9.05	$9.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.50 / $18.10 / $27.15	Facility		$9.50	$18.10	$27.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.69 / $9.05 / $12.85	Professional		$7.69	$9.05	$12.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.05 / $9.05 / $12.22	Facility		$9.05	$9.05	$12.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $9.05 / $11.31	Professional		$9.05	$9.05	$11.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.05 / $9.05 / $9.05	Facility		$9.05	$9.05	$9.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $9.05 / $43.23	Professional		$8.11	$9.05	$43.23
United Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $9.05 / $15.39	Professional		$9.05	$9.05	$15.39