Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.80 / $107.10 / $143.50	Facility		$23.80	$107.10	$143.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $23.80 / $29.00	Professional		$15.00	$23.80	$29.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.82 / $49.20 / $809.79	Facility		$13.82	$49.20	$809.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $13.82 / $19.62	Professional		$13.82	$13.82	$19.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.17 / $27.52 / $35.10	Facility		$21.17	$27.52	$35.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.17 / $25.40 / $31.76	Professional		$21.17	$25.40	$31.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.46 / $143.50 / $143.50	Facility		$22.46	$143.50	$143.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $15.45 / $30.46	Professional		$5.60	$15.45	$30.46
United Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $13.21 / $20.35	Professional		$9.07	$13.21	$20.35