Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.40 / $40.40 / $40.40	Facility		$40.40	$40.40	$40.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.04 / $30.98 / $40.40	Professional		$26.04	$30.98	$40.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.47 / $19.47 / $37.58	Facility		$19.47	$19.47	$37.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.47 / $19.47 / $30.85	Professional		$19.47	$19.47	$30.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.18 / $61.33 / $93.29	Facility		$47.18	$61.33	$93.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $49.54 / $56.62 / $70.77	Professional		$49.54	$56.62	$70.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.25 / $19.25 / $48.39	Professional		$19.25	$19.25	$48.39
United Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $23.54 / $33.04	Professional		$13.34	$23.54	$33.04