Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.62 / $18.05 / $191.60	Facility		$10.62	$18.05	$191.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $10.62 / $10.62	Professional		$10.62	$10.62	$10.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.01 / $12.51 / $21.24	Facility		$12.01	$12.51	$21.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $10.62 / $10.62	Professional		$9.02	$10.62	$10.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.62 / $11.68 / $16.98	Facility		$10.62	$11.68	$16.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $11.15 / $16.35	Professional		$10.62	$11.15	$16.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.45 / $33.45 / $85.00	Facility		$33.45	$33.45	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.49 / $20.04 / $33.45	Professional		$10.49	$20.04	$33.45
United Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $10.62 / $10.62	Professional		$10.62	$10.62	$10.62