Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $29.51 / $54.95	Facility		$12.02	$29.51	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.30	Professional		$12.02	$12.02	$12.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $18.20 / $26.92	Facility		$14.45	$18.20	$26.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $23.44	Professional		$12.02	$12.02	$23.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $18.20 / $24.55	Facility		$12.02	$18.20	$24.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $33.88	Professional		$12.02	$12.02	$33.88
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $24.55	Facility		$12.02	$12.02	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $14.45	Professional		$12.02	$12.02	$14.45