Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $42.66 / $95.50	Facility		$21.38	$42.66	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $21.38 / $25.70	Professional		$20.89	$21.38	$25.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $33.11 / $48.98	Facility		$27.54	$33.11	$48.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $23.44 / $35.48	Professional		$21.88	$23.44	$35.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41,686.94 / $43,651.58 / $70,794.58	Facility		$41,686.94	$43,651.58	$70,794.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $30.20	Facility		$22.39	$22.39	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $46.77	Facility		$23.44	$23.44	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $23.44 / $24.55	Professional		$21.88	$23.44	$24.55