Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.55 / $18.53 / $113.49	Facility		$14.55	$18.53	$113.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.27 / $19.73 / $20.61	Professional		$18.27	$19.73	$20.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.32 / $34.35 / $38.38	Facility		$30.32	$34.35	$38.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $20.75 / $29.46	Professional		$16.48	$20.75	$29.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.93 / $42.22 / $57.57	Facility		$28.93	$42.22	$57.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $42.22 / $51.81	Professional		$32.61	$42.22	$51.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.80 / $24.80 / $38.38	Facility		$24.80	$24.80	$38.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $24.80 / $39.36	Professional		$18.10	$24.80	$39.36
United Facility/Professional Professional Modifier Low / Median / High Price $11.40 / $18.98 / $27.48	Professional		$11.40	$18.98	$27.48