Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.54 / $40.03 / $121.84	Facility		$28.54	$40.03	$121.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.50 / $28.54 / $33.07	Professional		$27.50	$28.54	$33.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.50 / $34.81 / $104.43	Facility		$27.50	$34.81	$104.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $171.28	Professional		$18.20	$18.20	$171.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.81 / $45.25 / $48.73	Facility		$34.81	$45.25	$48.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.81 / $41.77 / $52.22	Professional		$34.81	$41.77	$52.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.78 / $34.81 / $83.00	Facility		$25.78	$34.81	$83.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.41 / $42.63 / $79.36	Professional		$20.41	$42.63	$79.36
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $39.65 / $60.60	Professional		$20.89	$39.65	$60.60