Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.13 / $69.83 / $369.02	Facility		$35.13	$69.83	$369.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.13 / $38.26 / $42.84	Professional		$35.13	$38.26	$42.84
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 $17.13 / $17.13 / $25.88	Professional		$17.13	$17.13	$25.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $51.41 / $59.98	Facility		$42.84	$51.41	$59.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $47.12 / $60.73	Professional		$42.84	$47.12	$60.73
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 / $116.22	Professional		$27.16	$52.47	$116.22
United Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $25.70 / $47.08	Professional		$17.98	$25.70	$47.08