Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.99 / $13.63 / $10,220.14	Facility		$12.99	$13.63	$10,220.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $12.99 / $16.36	Professional		$12.99	$12.99	$16.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.71 / $15.33 / $25.98	Facility		$14.71	$15.33	$25.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $12.99 / $12.99	Professional		$11.04	$12.99	$12.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.99 / $14.06 / $20.78	Facility		$12.99	$14.06	$20.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $14.29 / $20.00	Professional		$12.99	$14.29	$20.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.99 / $12.99 / $16.63	Facility		$12.99	$12.99	$16.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.93 / $12.99 / $24.30	Professional		$11.93	$12.99	$24.30
United Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $12.99 / $12.99	Professional		$12.99	$12.99	$12.99