Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $63.10 / $141.25	Facility		$38.90	$63.10	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.90 / $37.15	Professional		$25.12	$30.90	$37.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $114.82	Facility		$38.90	$38.90	$114.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $38.90	Professional		$15.49	$15.49	$38.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $47.86	Facility		$23.44	$23.44	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $37.15 / $69.18	Facility		$20.42	$37.15	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $34.67 / $60.26	Professional		$17.38	$34.67	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $38.90 / $38.90	Facility		$13.49	$38.90	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $22.91 / $38.90	Professional		$16.22	$22.91	$38.90