Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.45 / $79.40 / $251.96	Facility		$25.45	$79.40	$251.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.87 / $56.43 / $69.23	Professional		$20.87	$56.43	$69.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.11 / $22.78 / $76.34	Facility		$20.11	$22.78	$76.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $12.57 / $18.85	Professional		$12.57	$12.57	$18.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.45 / $28.00 / $35.63	Facility		$25.45	$28.00	$35.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $26.72 / $34.36	Professional		$16.54	$26.72	$34.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $25.45 / $65.41	Facility		$18.62	$25.45	$65.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $18.02 / $36.65	Professional		$9.57	$18.02	$36.65
United Facility/Professional Facility Modifier Low / Median / High Price $25.45 / $25.45 / $39.08	Facility		$25.45	$25.45	$39.08
United Facility/Professional Professional Modifier Low / Median / High Price $5.54 / $14.00 / $25.45	Professional		$5.54	$14.00	$25.45