Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.74 / $30.26 / $133.22	Facility		$9.74	$30.26	$133.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.74 / $11.16	Professional		$9.64	$9.74	$11.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.11 / $19.28 / $28.92	Facility		$10.11	$19.28	$28.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $9.64 / $13.68	Professional		$8.19	$9.64	$13.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.64 / $9.64 / $14.46	Facility		$9.64	$9.64	$14.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.64 / $12.05	Professional		$9.64	$9.64	$12.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.64 / $9.64 / $9.64	Facility		$9.64	$9.64	$9.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.64 / $58.99	Professional		$9.64	$9.64	$58.99
United Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $19.28 / $66.50	Professional		$9.64	$19.28	$66.50