Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.99 / $31.99 / $31.99	Facility		$31.99	$31.99	$31.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $31.99 / $108.66	Professional		$27.99	$31.99	$108.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.61 / $158.61 / $402.23	Facility		$158.61	$158.61	$402.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.72 / $154.03 / $213.67	Professional		$83.72	$154.03	$213.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.33 / $319.89 / $530.01	Facility		$21.33	$319.89	$530.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $222.75 / $222.75 / $222.75	Facility		$222.75	$222.75	$222.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.37 / $209.37 / $209.37	Professional		$209.37	$209.37	$209.37
United Facility/Professional Facility Modifier Low / Median / High Price $672.89 / $672.89 / $672.89	Facility		$672.89	$672.89	$672.89
United Facility/Professional Professional Modifier Low / Median / High Price $99.03 / $159.51 / $272.00	Professional		$99.03	$159.51	$272.00