Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $38.90 / $91.20	Facility		$25.12	$38.90	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $22.91	Professional		$15.85	$19.95	$22.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $75.86	Facility		$25.12	$25.12	$75.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $28.84 / $54.95	Professional		$24.55	$28.84	$54.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $363.08 / $537.03	Facility		$23.99	$363.08	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $35.48 / $74.13	Professional		$28.18	$35.48	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $15.14 / $25.12	Professional		$10.47	$15.14	$25.12