Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.88 / $63.91 / $380.98	Facility		$37.88	$63.91	$380.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.42 / $33.47 / $35.63	Professional		$30.42	$33.47	$35.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.42 / $36.69 / $115.50	Facility		$30.42	$36.69	$115.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.01 / $19.01 / $28.25	Professional		$19.01	$19.01	$28.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.50 / $42.35 / $53.90	Facility		$38.50	$42.35	$53.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.03 / $40.43 / $51.98	Professional		$25.03	$40.43	$51.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.17 / $38.50 / $99.77	Facility		$28.17	$38.50	$99.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.35 / $44.19 / $77.98	Professional		$25.35	$44.19	$77.98
United Facility/Professional Professional Modifier Low / Median / High Price $16.17 / $24.76 / $42.31	Professional		$16.17	$24.76	$42.31