Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $52.48 / $117.49	Facility		$33.88	$52.48	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $27.54 / $39.81	Professional		$25.12	$27.54	$39.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $102.33	Facility		$33.88	$33.88	$102.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $20.42 / $33.88	Professional		$16.60	$20.42	$33.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $42.66	Facility		$22.91	$22.91	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $33.88 / $67.61	Facility		$24.55	$33.88	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.99 / $74.13	Professional		$16.98	$23.99	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $33.88 / $33.88	Facility		$15.14	$33.88	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $20.42 / $33.88	Professional		$14.13	$20.42	$33.88