Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.18 / $35.49 / $118.75	Facility		$11.18	$35.49	$118.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $11.19 / $12.43	Professional		$11.18	$11.19	$12.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.66 / $13.19 / $13.20	Facility		$12.66	$13.19	$13.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $11.19 / $11.19	Professional		$9.51	$11.19	$11.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.19 / $12.31 / $17.89	Facility		$11.19	$12.31	$17.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $11.75 / $17.23	Professional		$11.19	$11.75	$17.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.19 / $11.19 / $85.00	Facility		$11.19	$11.19	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.35 / $11.19 / $23.45	Professional		$7.35	$11.19	$23.45
United Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $11.19 / $11.19	Professional		$11.19	$11.19	$11.19