Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.57 / $171.68 / $452.96	Facility		$25.57	$171.68	$452.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.13 / $25.57 / $30.51	Professional		$15.13	$25.57	$30.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.83 / $48.40 / $809.79	Facility		$14.83	$48.40	$809.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.83 / $14.83 / $23.80	Professional		$14.83	$14.83	$23.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.27 / $23.80 / $34.01	Facility		$19.27	$23.80	$34.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.21 / $23.12 / $34.01	Professional		$15.21	$23.12	$34.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.19 / $143.50 / $143.50	Facility		$12.19	$143.50	$143.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $22.95 / $37.17	Professional		$11.75	$22.95	$37.17
United Facility/Professional Professional Modifier Low / Median / High Price $10.41 / $15.31 / $28.22	Professional		$10.41	$15.31	$28.22