Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.01 / $33.67 / $108.05	Facility		$24.01	$33.67	$108.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.03 / $24.01 / $27.65	Professional		$19.03	$24.01	$27.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.13 / $27.91 / $87.84	Facility		$23.13	$27.91	$87.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $14.46 / $21.69	Professional		$14.46	$14.46	$21.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.28 / $35.28 / $39.53	Facility		$29.28	$35.28	$39.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.28 / $33.67 / $41.50	Professional		$29.28	$33.67	$41.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.42 / $29.28 / $75.47	Facility		$21.42	$29.28	$75.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.28 / $33.86 / $75.91	Professional		$19.28	$33.86	$75.91
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.89 / $29.28	Professional		$12.30	$17.89	$29.28