Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.67 / $73.84 / $149.63	Facility		$31.67	$73.84	$149.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.67 / $31.67 / $88.50	Professional		$31.67	$31.67	$88.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.67 / $63.34 / $83.93	Facility		$31.67	$63.34	$83.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.19 / $28.76 / $40.83	Professional		$24.19	$28.76	$40.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.67 / $31.67 / $47.19	Facility		$31.67	$31.67	$47.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.67 / $31.67 / $36.42	Professional		$31.67	$31.67	$36.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.76 / $32.76 / $32.76	Facility		$32.76	$32.76	$32.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $32.76 / $85.97	Professional		$29.50	$32.76	$85.97
United Facility/Professional Professional Modifier Low / Median / High Price $29.26 / $33.06 / $35.11	Professional		$29.26	$33.06	$35.11