Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.33 / $25.33 / $119.47	Facility		$25.33	$25.33	$119.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.33 / $119.47	Professional		$25.33	$25.33	$119.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.68 / $29.88 / $50.66	Facility		$28.68	$29.88	$50.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $25.33 / $25.33	Professional		$21.53	$25.33	$25.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.33 / $27.42 / $40.53	Facility		$25.33	$27.42	$40.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $27.86 / $39.01	Professional		$25.33	$27.86	$39.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.33 / $25.33 / $123.81	Facility		$25.33	$25.33	$123.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $240.40 / $347.73	Professional		$25.33	$240.40	$347.73
United Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $26.85 / $28.20	Professional		$25.33	$26.85	$28.20