Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.97 / $40.63 / $286.89	Facility		$28.97	$40.63	$286.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $29.68 / $33.56	Professional		$18.73	$29.68	$33.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.91 / $33.68 / $105.99	Facility		$27.91	$33.68	$105.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.29 / $17.45 / $24.37	Professional		$17.29	$17.45	$24.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.33 / $42.40 / $47.70	Facility		$35.33	$42.40	$47.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.33 / $40.63 / $50.08	Professional		$35.33	$40.63	$50.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.85 / $35.33 / $91.40	Facility		$25.85	$35.33	$91.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.27 / $40.47 / $71.09	Professional		$23.27	$40.47	$71.09
United Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $21.20 / $35.33	Professional		$14.84	$21.20	$35.33