Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $64.57 / $138.04	Facility		$41.69	$64.57	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $33.88 / $70.79	Professional		$29.51	$33.88	$70.79
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 / $17.38 / $41.69	Professional		$16.98	$17.38	$41.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $41.69 / $41.69	Facility		$33.11	$41.69	$41.69
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 $28.18 / $41.69 / $93.33	Facility		$28.18	$41.69	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $38.02 / $104.71	Professional		$23.99	$38.02	$104.71
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