Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.26 / $29.26 / $55.17	Facility		$12.26	$29.26	$55.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $12.26 / $12.26	Professional		$12.14	$12.26	$12.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.14 / $24.28 / $32.17	Facility		$12.14	$24.28	$32.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.31 / $12.14 / $17.23	Professional		$10.31	$12.14	$17.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.14 / $12.14 / $17.12	Facility		$12.14	$12.14	$17.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $12.14 / $15.18	Professional		$12.14	$12.14	$15.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.14 / $12.14 / $12.14	Facility		$12.14	$12.14	$12.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.21 / $12.14 / $33.52	Professional		$11.21	$12.14	$33.52
United Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $12.14 / $15.05	Professional		$12.14	$12.14	$15.05