Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.75 / $54.34 / $165.38	Facility		$38.75	$54.34	$165.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $38.75 / $42.53	Professional		$32.50	$38.75	$42.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.33 / $47.25 / $141.75	Facility		$37.33	$47.25	$141.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.25 / $50.39 / $133.71	Professional		$47.25	$50.39	$133.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.25 / $56.70 / $66.15	Facility		$47.25	$56.70	$66.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.25 / $51.98 / $66.98	Professional		$47.25	$51.98	$66.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.71 / $47.25 / $109.85	Facility		$30.71	$47.25	$109.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $57.35 / $68.70	Professional		$33.92	$57.35	$68.70
United Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $28.35 / $51.93	Professional		$19.85	$28.35	$51.93