Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $72.44 / $128.82	Facility		$42.66	$72.44	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $42.66 / $51.29	Professional		$34.67	$42.66	$51.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $53.70 / $56.23	Facility		$44.67	$53.70	$56.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $47.86	Professional		$21.38	$21.38	$47.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $74.13 / $102.33	Facility		$53.70	$74.13	$102.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $69.18 / $89.13	Professional		$57.54	$69.18	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $85.11 / $85.11	Facility		$34.67	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $77.62 / $257.04	Professional		$24.55	$77.62	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Facility		$26.30	$26.30	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $32.36 / $53.70	Professional		$22.39	$32.36	$53.70