Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.46 / $43.03 / $61.88	Facility		$36.46	$43.03	$61.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $46.31 / $58.80	Professional		$38.86	$46.31	$58.80
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $82.34 / $82.34 / $82.34	Professional	25	$82.34	$82.34	$82.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.88 / $14.88 / $45.81	Facility		$14.88	$14.88	$45.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $23.88 / $46.12	Professional		$14.88	$23.88	$46.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.79 / $44.66 / $51.54	Facility		$37.79	$44.66	$51.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.83 / $53.39 / $63.77	Professional		$42.83	$53.39	$63.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.63 / $62.98 / $86.56	Professional		$51.63	$62.98	$86.56
United Facility/Professional Professional Modifier Low / Median / High Price $51.54 / $64.59 / $91.62	Professional		$51.54	$64.59	$91.62