Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.54 / $16.54 / $28.12	Facility		$16.54	$16.54	$28.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $16.54 / $18.04	Professional		$16.54	$16.54	$18.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.72 / $19.50 / $19.52	Facility		$18.72	$19.50	$19.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.05 / $16.54 / $16.54	Professional		$14.05	$16.54	$16.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.54 / $17.94 / $26.46	Facility		$16.54	$17.94	$26.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $17.37 / $25.47	Professional		$16.54	$17.37	$25.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.54 / $16.54 / $85.00	Facility		$16.54	$16.54	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $16.54 / $30.74	Professional		$12.57	$16.54	$30.74
United Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $16.54 / $17.71	Professional		$16.54	$16.54	$17.71