Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.74 / $22.74 / $45.95	Facility		$22.74	$22.74	$45.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.87 / $23.19 / $24.68	Professional		$21.87	$23.19	$24.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.29 / $41.13 / $45.95	Facility		$36.29	$41.13	$45.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.42 / $24.25 / $33.33	Professional		$22.42	$24.25	$33.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.65 / $50.55 / $68.93	Facility		$34.65	$50.55	$68.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.06 / $50.55 / $62.03	Professional		$39.06	$50.55	$62.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.10 / $27.10 / $45.95	Facility		$27.10	$27.10	$45.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.78 / $27.10 / $47.13	Professional		$19.78	$27.10	$47.13
United Facility/Professional Professional Modifier Low / Median / High Price $13.66 / $22.20 / $30.88	Professional		$13.66	$22.20	$30.88