Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.78 / $52.98 / $170.01	Facility		$37.78	$52.98	$170.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $37.78 / $43.77	Professional		$36.40	$37.78	$43.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.40 / $43.91 / $138.21	Facility		$36.40	$43.91	$138.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.75 / $24.11 / $38.24	Professional		$22.75	$24.11	$38.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.07 / $55.28 / $62.19	Facility		$46.07	$55.28	$62.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.07 / $52.98 / $65.30	Professional		$46.07	$52.98	$65.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.36 / $46.07 / $119.07	Facility		$33.36	$46.07	$119.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.30 / $52.86 / $100.29	Professional		$29.30	$52.86	$100.29
United Facility/Professional Facility Modifier Low / Median / High Price $46.07 / $46.07 / $46.07	Facility		$46.07	$46.07	$46.07
United Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $27.72 / $50.63	Professional		$19.35	$27.72	$50.63