Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $160.00 / $180.00	Facility		$30.00	$160.00	$180.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.10 / $106.25	Professional		$30.00	$45.10	$106.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.00 / $37.00 / $71.41	Facility		$37.00	$37.00	$71.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.45 / $37.00 / $49.95	Professional		$31.45	$37.00	$49.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.25 / $41.25 / $42.19	Facility		$41.25	$41.25	$42.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.13 / $37.13 / $37.13	Professional		$37.13	$37.13	$37.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $60.00 / $90.00	Professional		$40.00	$60.00	$90.00
United Facility/Professional Professional Modifier Low / Median / High Price $15.66 / $15.66 / $38.72	Professional		$15.66	$15.66	$38.72