Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.21 / $53.59 / $163.10	Facility		$38.21	$53.59	$163.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.81 / $38.21 / $44.27	Professional		$36.81	$38.21	$44.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.81 / $41.71 / $139.80	Facility		$36.81	$41.71	$139.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.14 / $21.14 / $627.82	Professional		$21.14	$21.14	$627.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.60 / $60.58 / $65.23	Facility		$46.60	$60.58	$65.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.60 / $55.92 / $69.90	Professional		$46.60	$55.92	$69.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.35 / $46.60 / $110.68	Facility		$34.35	$46.60	$110.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.90 / $42.08 / $68.19	Professional		$27.90	$42.08	$68.19
United Facility/Professional Facility Modifier Low / Median / High Price $46.60 / $46.60 / $46.60	Facility		$46.60	$46.60	$46.60
United Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $27.96 / $51.87	Professional		$19.57	$27.96	$51.87