Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $24.55 / $5,888.44	Facility		$18.20	$24.55	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $19.95	Professional		$18.20	$18.20	$19.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $21.38 / $34.67	Facility		$20.89	$21.38	$34.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $28.84	Facility		$18.20	$18.20	$28.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $19.95 / $25.70	Professional		$18.20	$19.95	$25.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $85.11 / $85.11	Facility		$18.20	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $77.62 / $77.62	Professional		$18.20	$77.62	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $20.42	Professional		$18.20	$18.20	$20.42