Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.27 / $86.25 / $253.09	Facility		$37.27	$86.25	$253.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.82 / $31.35 / $41.00	Professional		$29.82	$31.35	$41.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.44 / $33.54 / $111.81	Facility		$29.44	$33.54	$111.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $17.32 / $32.68	Professional		$17.32	$17.32	$32.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.27 / $44.72 / $52.18	Facility		$37.27	$44.72	$52.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.27 / $41.00 / $52.83	Professional		$37.27	$41.00	$52.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.16 / $37.27 / $90.56	Facility		$28.16	$37.27	$90.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $32.70 / $70.38	Professional		$22.30	$32.70	$70.38
United Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $22.36 / $40.96	Professional		$15.65	$22.36	$40.96