Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.40 / $31.00 / $141.11	Facility		$25.40	$31.00	$141.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.47 / $27.00 / $29.27	Professional		$24.47	$27.00	$29.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.47 / $28.27 / $92.94	Facility		$24.47	$28.27	$92.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.65 / $15.30 / $22.73	Professional		$14.65	$15.30	$22.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $37.22 / $41.82	Facility		$30.98	$37.22	$41.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $35.63 / $43.91	Professional		$30.98	$35.63	$43.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.67 / $30.98 / $80.48	Facility		$22.67	$30.98	$80.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $35.52 / $63.63	Professional		$20.39	$35.52	$63.63
United Facility/Professional Professional Modifier Low / Median / High Price $13.01 / $18.59 / $34.04	Professional		$13.01	$18.59	$34.04