Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.70 / $16.70 / $16.70	Facility		$16.70	$16.70	$16.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $17.35 / $19.66	Professional		$16.05	$17.35	$19.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.26 / $50.26 / $97.00	Facility		$50.26	$50.26	$97.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.20 / $50.26 / $67.70	Professional		$40.20	$50.26	$67.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.02 / $74.76 / $156.00	Facility		$31.02	$74.76	$156.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.29 / $30.29 / $30.29	Facility		$30.29	$30.29	$30.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.11 / $30.29 / $50.46	Professional		$22.11	$30.29	$50.46
United Facility/Professional Professional Modifier Low / Median / High Price $15.01 / $20.65 / $35.43	Professional		$15.01	$20.65	$35.43