Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.19 / $42.34 / $91.20	Facility		$11.19	$42.34	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.11 / $12.80	Professional		$6.05	$6.11	$12.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.35 / $12.10 / $18.14	Facility		$6.35	$12.10	$18.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.14 / $6.05 / $8.59	Professional		$5.14	$6.05	$8.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.05 / $6.05 / $9.08	Facility		$6.05	$6.05	$9.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.05 / $9.68	Professional		$6.05	$6.05	$9.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.05 / $6.05 / $6.05	Facility		$6.05	$6.05	$6.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.05 / $48.51	Professional		$6.05	$6.05	$48.51
United Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.05 / $10.29	Professional		$6.05	$6.05	$10.29