Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.64 / $13.64 / $13.64	Facility		$13.64	$13.64	$13.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $13.64 / $13.81	Professional		$13.64	$13.64	$13.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $17.05 / $32.90	Facility		$17.05	$17.05	$32.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $17.05 / $23.52	Professional		$17.05	$17.05	$23.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $64.41 / $88.26	Facility		$64.41	$64.41	$88.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $64.41 / $77.29	Professional		$64.41	$64.41	$77.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $17.05 / $17.05	Facility		$17.05	$17.05	$17.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $17.05 / $17.05	Professional		$17.05	$17.05	$17.05
United Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $17.05 / $21.14	Professional		$17.05	$17.05	$21.14