Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $21.38 / $51.29	Facility		$13.80	$21.38	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.96 / $12.88	Professional		$10.00	$10.96	$12.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $41.69	Facility		$13.80	$13.80	$41.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.76 / $11.75	Professional		$6.46	$6.76	$11.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $199.53 / $43,651.58	Facility		$9.33	$199.53	$43,651.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $13.80 / $13.80	Facility		$8.91	$13.80	$13.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $15.85 / $19.50	Professional		$8.51	$15.85	$19.50
United Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $13.80 / $13.80	Facility		$6.17	$13.80	$13.80
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $8.32 / $13.80	Professional		$5.75	$8.32	$13.80