Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $30.20 / $64.57	Facility		$14.13	$30.20	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $16.98	Professional		$14.13	$14.13	$16.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $21.38 / $31.62	Facility		$16.98	$21.38	$31.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $21.38	Professional		$14.13	$14.13	$21.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $16.98 / $25.70	Facility		$14.45	$16.98	$25.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $18.20	Facility		$14.13	$14.13	$18.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $16.60	Professional		$14.13	$14.13	$16.60
United Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $27.54	Facility		$14.45	$14.45	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.14 / $15.85	Professional		$14.13	$15.14	$15.85