Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $11.75 / $12.88	Professional		$10.96	$11.75	$12.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $223.87 / $512.86	Facility		$14.79	$223.87	$512.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $28.84	Professional		$11.75	$11.75	$28.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $17.78 / $23.99	Facility		$11.75	$17.78	$23.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Facility		$11.75	$11.75	$11.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $15.14	Professional		$11.75	$11.75	$15.14
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $36.31 / $125.89	Professional		$30.20	$36.31	$125.89