Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.95 / $22.02 / $3,503.98	Facility		$18.95	$22.02	$3,503.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $22.02 / $26.87	Professional		$22.01	$22.02	$26.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.92 / $25.96 / $44.04	Facility		$24.92	$25.96	$44.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.71 / $22.02 / $22.02	Professional		$18.71	$22.02	$22.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.02 / $23.90 / $35.22	Facility		$22.02	$23.90	$35.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $24.22 / $33.90	Professional		$22.02	$24.22	$33.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.02 / $22.02 / $34.44	Facility		$22.02	$22.02	$34.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $38.96 / $38.96	Professional		$22.02	$38.96	$38.96
United Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $22.02 / $22.02	Professional		$22.02	$22.02	$22.02