Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.58 / $306.69 / $1,405.73	Facility		$5.58	$306.69	$1,405.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $4.90 / $201.60	Professional		$4.86	$4.90	$201.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.09 / $9.72 / $14.58	Facility		$5.09	$9.72	$14.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.86 / $6.90	Professional		$4.13	$4.86	$6.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.86 / $4.86 / $7.29	Facility		$4.86	$4.86	$7.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $4.86 / $6.08	Professional		$4.86	$4.86	$6.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.86 / $4.86 / $4.86	Facility		$4.86	$4.86	$4.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $4.86 / $13.20	Professional		$4.86	$4.86	$13.20
United Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $4.86 / $8.26	Professional		$4.86	$4.86	$8.26