Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.56 / $55.48 / $168.84	Facility		$39.56	$55.48	$168.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.70 / $39.56 / $45.83	Professional		$35.70	$39.56	$45.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.11 / $43.42 / $144.72	Facility		$38.11	$43.42	$144.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.13 / $17.13 / $29.12	Professional		$17.13	$17.13	$29.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.24 / $62.71 / $67.54	Facility		$48.24	$62.71	$67.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.24 / $57.89 / $72.36	Professional		$48.24	$57.89	$72.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.36 / $48.24 / $112.34	Facility		$31.36	$48.24	$112.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $51.49 / $88.05	Professional		$22.30	$51.49	$88.05
United Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $28.94 / $53.06	Professional		$20.26	$28.94	$53.06