Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.04 / $120.54 / $205.34	Facility		$23.04	$120.54	$205.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.35 / $23.04 / $27.49	Professional		$10.35	$23.04	$27.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.39 / $61.00 / $809.79	Facility		$13.39	$61.00	$809.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $13.39 / $24.00	Professional		$13.39	$13.39	$24.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $21.55 / $28.39	Facility		$17.23	$21.55	$28.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.28 / $22.18 / $92.15	Professional		$20.28	$22.18	$92.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.95 / $143.50 / $143.50	Facility		$10.95	$143.50	$143.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.55 / $26.85 / $33.85	Professional		$10.55	$26.85	$33.85
United Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $13.58 / $25.43	Professional		$9.30	$13.58	$25.43