Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.67 / $19.67 / $19.67	Facility		$19.67	$19.67	$19.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $19.67	Professional		$19.48	$19.48	$19.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $19.48 / $37.60	Facility		$19.48	$19.48	$37.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $27.66	Professional		$19.48	$19.48	$27.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $19.48 / $30.19	Facility		$19.48	$19.48	$30.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $23.38	Professional		$19.48	$19.48	$23.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $19.48 / $19.48	Facility		$19.48	$19.48	$19.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $26.67	Professional		$19.48	$19.48	$26.67
United Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $24.16	Professional		$19.48	$19.48	$24.16