Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.44 / $17.62 / $29.95	Facility		$17.44	$17.62	$29.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $17.62 / $17.78	Professional		$17.62	$17.62	$17.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.94 / $20.78 / $35.24	Facility		$19.94	$20.78	$35.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.97 / $17.62 / $17.62	Professional		$14.97	$17.62	$17.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $18.98 / $28.19	Facility		$17.62	$18.98	$28.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $19.38 / $27.13	Professional		$17.62	$19.38	$27.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $17.62 / $85.00	Facility		$17.62	$17.62	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $315.39 / $315.39	Professional		$17.62	$315.39	$315.39
United Facility/Professional Professional Modifier Low / Median / High Price $17.44 / $17.62 / $17.62	Professional		$17.44	$17.62	$17.62