Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.77 / $38.94 / $124.97	Facility		$27.77	$38.94	$124.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.75 / $27.77 / $32.17	Professional		$26.75	$27.77	$32.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.75 / $30.47 / $101.58	Facility		$26.75	$30.47	$101.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.45 / $13.54 / $23.29	Professional		$12.45	$13.54	$23.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.86 / $40.70 / $45.71	Facility		$33.86	$40.70	$45.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $38.94 / $48.00	Professional		$33.86	$38.94	$48.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.01 / $33.86 / $78.81	Facility		$22.01	$33.86	$78.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $35.14 / $49.04	Professional		$16.55	$35.14	$49.04
United Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $15.64 / $30.47	Professional		$13.22	$15.64	$30.47