Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $55.28 / $86.72	Professional		$17.48	$55.28	$86.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $36.28 / $59.83	Professional		$15.77	$36.28	$59.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.40 / $25.32 / $30.19	Facility		$22.40	$25.32	$30.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.34 / $92.81 / $96.68	Professional		$77.34	$92.81	$96.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.93 / $33.93 / $33.93	Facility		$33.93	$33.93	$33.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.74 / $52.67 / $110.24	Professional		$20.74	$52.67	$110.24
United Facility/Professional Professional Modifier Low / Median / High Price $58.61 / $75.36 / $104.66	Professional		$58.61	$75.36	$104.66