Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.12 / $26.81 / $85.50	Facility		$12.12	$26.81	$85.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $12.18 / $12.19	Professional		$12.07	$12.18	$12.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.07 / $24.14 / $31.99	Facility		$12.07	$24.14	$31.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.25 / $12.07 / $17.13	Professional		$10.25	$12.07	$17.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.07 / $12.07 / $17.73	Facility		$12.07	$12.07	$17.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $12.07 / $13.88	Professional		$12.07	$12.07	$13.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.07 / $12.07 / $25.23	Facility		$12.07	$12.07	$25.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $12.07 / $30.72	Professional		$9.94	$12.07	$30.72
United Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $12.07 / $15.09	Professional		$12.07	$12.07	$15.09