Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.46 / $25.46 / $43.28	Facility		$25.46	$25.46	$43.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $25.46 / $30.77	Professional		$25.46	$25.46	$30.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.82 / $30.03 / $50.92	Facility		$28.82	$30.03	$50.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $25.46 / $25.46	Professional		$21.64	$25.46	$25.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.46 / $27.78 / $40.74	Facility		$25.46	$27.78	$40.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $28.01 / $39.21	Professional		$25.46	$28.01	$39.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.46 / $25.46 / $85.00	Facility		$25.46	$25.46	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $29.79 / $63.62	Professional		$25.46	$29.79	$63.62
United Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $25.46 / $28.52	Professional		$25.46	$25.46	$28.52