Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.00 / $21.18 / $62.70	Facility		$7.00	$21.18	$62.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.68 / $15.69 / $19.76	Professional		$15.68	$15.69	$19.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.77 / $18.51 / $18.51	Facility		$17.77	$18.51	$18.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $15.69 / $15.69	Professional		$13.33	$15.69	$15.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.69 / $17.26 / $25.10	Facility		$15.69	$17.26	$25.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $16.47 / $21.97	Professional		$15.69	$16.47	$21.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.69 / $15.69 / $85.00	Facility		$15.69	$15.69	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.72 / $13.49 / $15.69	Professional		$4.72	$13.49	$15.69
United Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $15.69 / $15.69	Professional		$15.69	$15.69	$15.69