Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.57 / $115.07 / $143.50	Facility		$25.57	$115.07	$143.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $25.57 / $31.16	Professional		$16.05	$25.57	$31.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.83 / $32.40 / $809.79	Facility		$14.83	$32.40	$809.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $14.83 / $19.97	Professional		$12.80	$14.83	$19.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.67 / $27.20 / $31.74	Facility		$22.67	$27.20	$31.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.67 / $27.20 / $34.01	Professional		$22.67	$27.20	$34.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.10 / $143.50 / $143.50	Facility		$24.10	$143.50	$143.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $16.68 / $37.00	Professional		$4.07	$16.68	$37.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $14.10 / $21.87	Professional		$11.12	$14.10	$21.87