Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.94 / $53.00 / $148.22	Facility		$30.94	$53.00	$148.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.94 / $33.95 / $34.90	Professional		$30.94	$33.95	$34.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.81 / $35.96 / $113.19	Facility		$29.81	$35.96	$113.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.63 / $18.63 / $27.94	Professional		$18.63	$18.63	$27.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.72 / $41.50 / $52.82	Facility		$37.72	$41.50	$52.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.52 / $39.61 / $50.94	Professional		$24.52	$39.61	$50.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.60 / $37.72 / $97.27	Facility		$27.60	$37.72	$97.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $46.21 / $93.81	Professional		$25.33	$46.21	$93.81
United Facility/Professional Facility Modifier Low / Median / High Price $37.72 / $37.72 / $37.72	Facility		$37.72	$37.72	$37.72
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $24.26 / $46.52	Professional		$15.85	$24.26	$46.52