Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.22 / $32.90 / $97.51	Facility		$14.22	$32.90	$97.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $14.31 / $15.74	Professional		$14.31	$14.31	$15.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.31 / $28.62 / $34.63	Facility		$14.31	$28.62	$34.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $14.31 / $19.73	Professional		$14.31	$14.31	$19.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.31 / $14.31 / $21.47	Facility		$14.31	$14.31	$21.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $14.31 / $17.89	Professional		$14.31	$14.31	$17.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.31 / $14.31 / $14.31	Facility		$14.31	$14.31	$14.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $14.31 / $16.20	Professional		$14.31	$14.31	$16.20
United Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $15.91 / $17.17	Professional		$14.31	$15.91	$17.17