Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.98 / $42.04 / $134.91	Facility		$29.98	$42.04	$134.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $29.98 / $34.72	Professional		$28.88	$29.98	$34.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.88 / $34.86 / $146.24	Facility		$28.88	$34.86	$146.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $18.05 / $27.09	Professional		$18.05	$18.05	$27.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.56 / $43.87 / $49.36	Facility		$36.56	$43.87	$49.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.56 / $42.04 / $51.82	Professional		$36.56	$42.04	$51.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.34 / $36.56 / $122.41	Facility		$29.34	$36.56	$122.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.97 / $42.13 / $157.81	Professional		$32.97	$42.13	$157.81
United Facility/Professional Professional Modifier Low / Median / High Price $15.36 / $23.51 / $49.46	Professional		$15.36	$23.51	$49.46