Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.20 / $16.20 / $27.54	Facility		$16.20	$16.20	$27.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.20 / $16.20	Professional		$16.20	$16.20	$16.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.34 / $19.10 / $19.12	Facility		$18.34	$19.10	$19.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.77 / $16.20 / $16.20	Professional		$13.77	$16.20	$16.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.20 / $17.57 / $25.92	Facility		$16.20	$17.57	$25.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $17.82 / $24.95	Professional		$16.20	$17.82	$24.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.20 / $16.20 / $85.00	Facility		$16.20	$16.20	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.16 / $16.20 / $31.08	Professional		$16.16	$16.20	$31.08
United Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.20 / $16.20	Professional		$16.20	$16.20	$16.20