Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.30 / $16.93 / $119.80	Facility		$15.30	$16.93	$119.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $15.30 / $16.93	Professional		$15.30	$15.30	$16.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.32 / $18.04 / $18.05	Facility		$17.32	$18.04	$18.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $15.30 / $15.30	Professional		$13.00	$15.30	$15.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.30 / $16.53 / $24.48	Facility		$15.30	$16.53	$24.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $16.82 / $23.56	Professional		$15.30	$16.82	$23.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.30 / $15.30 / $85.00	Facility		$15.30	$15.30	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $15.30 / $27.36	Professional		$7.02	$15.30	$27.36
United Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $15.30 / $15.30	Professional		$15.30	$15.30	$15.30