Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.95 / $114.22 / $143.81	Facility		$43.95	$114.22	$143.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $43.95 / $51.81	Professional		$18.64	$43.95	$51.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.91 / $26.14 / $165.00	Facility		$20.91	$26.14	$165.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.43 / $21.36 / $40.79	Professional		$17.43	$21.36	$40.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.53 / $68.20 / $79.58	Facility		$56.53	$68.20	$79.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.84 / $65.37 / $76.73	Professional		$56.84	$65.37	$76.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $75.00 / $144.34	Facility		$65.00	$75.00	$144.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.71 / $58.49 / $114.34	Professional		$23.71	$58.49	$114.34
United Facility/Professional Professional Modifier Low / Median / High Price $23.97 / $42.06 / $50.30	Professional		$23.97	$42.06	$50.30