Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.30 / $36.99 / $103.57	Facility		$21.30	$36.99	$103.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $21.31 / $26.85	Professional		$21.20	$21.31	$26.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.13 / $25.14 / $25.15	Facility		$24.13	$25.14	$25.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $21.31 / $21.31	Professional		$18.11	$21.31	$21.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.31 / $23.44 / $34.10	Facility		$21.31	$23.44	$34.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $22.38 / $29.83	Professional		$21.31	$22.38	$29.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.31 / $21.31 / $85.00	Facility		$21.31	$21.31	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $21.31 / $37.46	Professional		$13.05	$21.31	$37.46
United Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $21.31	Professional		$21.31	$21.31	$21.31