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 $21.88 / $26.92 / $39.81	Professional		$21.88	$26.92	$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 $12.59 / $13.49 / $26.30	Professional		$12.59	$13.49	$26.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $42.66	Facility		$20.42	$20.42	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $33.88 / $75.86	Facility		$21.88	$33.88	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $33.11 / $56.23	Professional		$15.85	$33.11	$56.23
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 $13.18 / $15.14 / $33.88	Professional		$13.18	$15.14	$33.88