Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.77 / $68.43 / $156.00	Facility		$28.77	$68.43	$156.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.46 / $26.32 / $37.40	Professional		$20.46	$26.32	$37.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.72 / $33.45 / $105.27	Facility		$27.72	$33.45	$105.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $17.32 / $29.42	Professional		$17.32	$17.32	$29.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $42.11 / $49.13	Facility		$35.09	$42.11	$49.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $38.60 / $49.74	Professional		$35.09	$38.60	$49.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.16 / $35.09 / $90.56	Facility		$28.16	$35.09	$90.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.88 / $42.46 / $87.49	Professional		$20.88	$42.46	$87.49
United Facility/Professional Facility Modifier Low / Median / High Price $170.04 / $170.04 / $170.04	Facility		$170.04	$170.04	$170.04
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $38.56	Professional		$14.74	$21.05	$38.56