Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $69.18 / $154.88	Facility		$41.69	$69.18	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.88 / $41.69	Professional		$21.88	$33.88	$41.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $125.89	Facility		$41.69	$41.69	$125.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.42 / $41.69	Professional		$16.98	$20.42	$41.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $50.12 / $56.23	Facility		$39.81	$50.12	$56.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $45.71 / $58.88	Professional		$41.69	$45.71	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $64.57 / $117.49	Facility		$38.02	$64.57	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $42.66 / $112.20	Professional		$26.30	$42.66	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $25.12 / $45.71	Professional		$17.38	$25.12	$45.71