Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.03 / $42.11 / $128.16	Facility		$30.03	$42.11	$128.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.30 / $32.50 / $39.31	Professional		$29.30	$32.50	$39.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.93 / $32.77 / $109.86	Facility		$28.93	$32.77	$109.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.65 / $14.65 / $43.83	Professional		$14.65	$14.65	$43.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.61 / $43.94 / $51.27	Facility		$36.61	$43.94	$51.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $40.28 / $51.91	Professional		$36.61	$40.28	$51.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.80 / $36.61 / $85.52	Facility		$23.80	$36.61	$85.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.34 / $32.97 / $53.00	Professional		$19.34	$32.97	$53.00
United Facility/Professional Facility Modifier Low / Median / High Price $36.61 / $36.61 / $43.94	Facility		$36.61	$36.61	$43.94
United Facility/Professional Professional Modifier Low / Median / High Price $15.38 / $21.97 / $40.25	Professional		$15.38	$21.97	$40.25