Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.13 / $49.27 / $149.94	Facility		$35.13	$49.27	$149.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.84 / $35.13 / $40.70	Professional		$33.84	$35.13	$40.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.84 / $38.56 / $128.52	Facility		$33.84	$38.56	$128.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.29 / $19.29 / $35.52	Professional		$19.29	$19.29	$35.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $55.69 / $59.98	Facility		$42.84	$55.69	$59.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $51.41 / $64.26	Professional		$42.84	$51.41	$64.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.36 / $42.84 / $110.68	Facility		$34.36	$42.84	$110.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.16 / $52.47 / $105.24	Professional		$27.16	$52.47	$105.24
United Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $25.70 / $47.08	Professional		$17.98	$25.70	$47.08