Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $36.31 / $67.61	Facility		$15.14	$36.31	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.85	Professional		$15.14	$15.14	$15.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $22.39 / $33.11	Facility		$17.78	$22.39	$33.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $28.84	Professional		$15.14	$15.14	$28.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $22.39 / $30.20	Facility		$15.14	$22.39	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $41.69	Professional		$15.14	$15.14	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $30.20	Facility		$15.14	$15.14	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $18.20	Professional		$15.14	$15.14	$18.20