Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $54.95 / $128.82	Facility		$35.48	$54.95	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.18 / $33.88	Professional		$22.91	$28.18	$33.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $104.71	Facility		$35.48	$35.48	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.05 / $35.48	Professional		$16.22	$19.05	$35.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $512.86 / $758.58	Facility		$33.88	$512.86	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $42.66 / $104.71	Professional		$25.12	$42.66	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.89 / $35.48	Professional		$14.79	$20.89	$35.48