Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.50 / $41.69	Facility		$19.05	$19.50	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.50 / $23.99	Professional		$19.05	$19.50	$23.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $36.31 / $36.31	Facility		$0.03	$36.31	$36.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.84 / $28.84	Professional		$21.88	$28.84	$28.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41,686.94 / $52,480.75 / $63,095.73	Facility		$41,686.94	$52,480.75	$63,095.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50