Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.03 / $15.04 / $25.57	Facility		$15.03	$15.04	$25.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.04 / $15.04	Professional		$15.04	$15.04	$15.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.03 / $17.73 / $30.08	Facility		$17.03	$17.73	$30.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $15.04 / $15.04	Professional		$12.78	$15.04	$15.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.04 / $16.16 / $24.06	Facility		$15.04	$16.16	$24.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $16.54 / $23.16	Professional		$15.04	$16.54	$23.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.04 / $15.04 / $85.00	Facility		$15.04	$15.04	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.08 / $28.32	Professional		$15.04	$15.08	$28.32
United Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.04 / $15.04	Professional		$15.04	$15.04	$15.04