Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.87 / $143.50 / $479.14	Facility		$29.87	$143.50	$479.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $29.87 / $36.40	Professional		$18.80	$29.87	$36.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.28 / $39.60 / $809.79	Facility		$17.28	$39.60	$809.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.60 / $17.28 / $23.27	Professional		$15.60	$17.28	$23.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.54 / $34.50 / $52.65	Facility		$26.54	$34.50	$52.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.54 / $31.85 / $39.81	Professional		$26.54	$31.85	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.08 / $143.50 / $143.50	Facility		$28.08	$143.50	$143.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.10 / $19.48 / $38.03	Professional		$6.10	$19.48	$38.03
United Facility/Professional Facility Modifier Low / Median / High Price $14.59 / $14.59 / $143.50	Facility		$14.59	$14.59	$143.50
United Facility/Professional Professional Modifier Low / Median / High Price $11.95 / $16.50 / $25.55	Professional		$11.95	$16.50	$25.55