Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.04 / $39.32 / $126.18	Facility		$28.04	$39.32	$126.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.01 / $28.04 / $34.19	Professional		$27.01	$28.04	$34.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.01 / $30.60 / $102.57	Facility		$27.01	$30.60	$102.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.02 / $15.42 / $28.05	Professional		$14.02	$15.42	$28.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.59 / $41.03 / $46.16	Facility		$33.59	$41.03	$46.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.19 / $39.32 / $48.46	Professional		$34.19	$39.32	$48.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.19 / $34.19 / $75.90	Facility		$34.19	$34.19	$75.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.02 / $39.24 / $49.04	Professional		$16.02	$39.24	$49.04
United Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $20.51 / $31.55	Professional		$14.36	$20.51	$31.55