Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.67 / $17.67 / $35.70	Facility		$17.67	$17.67	$35.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.67 / $18.35 / $21.02	Professional		$17.67	$18.35	$21.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.20 / $31.95 / $35.70	Facility		$28.20	$31.95	$35.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.42 / $21.57 / $29.76	Professional		$17.42	$21.57	$29.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.35 / $40.46 / $53.55	Facility		$30.35	$40.46	$53.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.35 / $39.27 / $48.20	Professional		$30.35	$39.27	$48.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.10 / $23.10 / $35.70	Facility		$23.10	$23.10	$35.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $23.10 / $36.63	Professional		$16.86	$23.10	$36.63
United Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $17.80 / $26.31	Professional		$11.88	$17.80	$26.31