Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.97 / $53.26 / $170.87	Facility		$37.97	$53.26	$170.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.58 / $33.72 / $46.31	Professional		$29.58	$33.72	$46.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.58 / $41.68 / $138.93	Facility		$36.58	$41.68	$138.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $18.52 / $31.86	Professional		$17.03	$18.52	$31.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.31 / $48.63 / $62.52	Facility		$46.31	$48.63	$62.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $48.63 / $62.52	Professional		$30.10	$48.63	$62.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.10 / $46.31 / $107.33	Facility		$30.10	$46.31	$107.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $53.28 / $66.59	Professional		$22.35	$53.28	$66.59
United Facility/Professional Professional Modifier Low / Median / High Price $19.45 / $25.43 / $41.68	Professional		$19.45	$25.43	$41.68