Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.05 / $28.18	Professional		$16.98	$19.05	$28.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $38.90 / $48.98	Facility		$20.89	$38.90	$48.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $20.89 / $37.15	Professional		$19.95	$20.89	$37.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $47.86 / $57.54	Facility		$38.90	$47.86	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $38.90	Facility		$21.38	$21.38	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $35.48	Professional		$15.49	$15.49	$35.48
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $25.70 / $30.90	Facility		$13.18	$25.70	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $18.62 / $26.30	Professional		$11.48	$18.62	$26.30