Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.24 / $57.96 / $109.67	Facility		$24.24	$57.96	$109.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.23 / $108.59	Professional		$24.00	$24.23	$108.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.00 / $48.00 / $63.60	Facility		$24.00	$48.00	$63.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $24.00 / $34.08	Professional		$20.39	$24.00	$34.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.00 / $24.00 / $35.76	Facility		$24.00	$24.00	$35.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.00 / $27.60	Professional		$24.00	$24.00	$27.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.00 / $24.00 / $62.74	Facility		$24.00	$24.00	$62.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $24.00 / $66.41	Professional		$23.82	$24.00	$66.41
United Facility/Professional Facility Modifier Low / Median / High Price $23.98 / $23.98 / $23.98	Facility		$23.98	$23.98	$23.98
United Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.00 / $35.52	Professional		$24.00	$24.00	$35.52