Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $65.72 / $189.59	Facility		$42.13	$65.72	$189.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $42.13	Professional		$42.13	$42.13	$42.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.85 / $126.39 / $229.21	Facility		$16.85	$126.39	$229.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.85 / $16.85 / $25.48	Professional		$16.85	$16.85	$25.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $56.88 / $67.41	Facility		$42.13	$56.88	$67.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $48.45 / $59.72	Professional		$42.13	$48.45	$59.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.38 / $79.48 / $164.73	Facility		$27.38	$79.48	$164.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $48.40 / $60.50	Professional		$20.26	$48.40	$60.50
United Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $23.18 / $42.13	Professional		$16.14	$23.18	$42.13