Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.72 / $28.77 / $156.07	Facility		$27.72	$28.77	$156.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.72 / $33.52 / $36.86	Professional		$27.72	$33.52	$36.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.39 / $31.58 / $36.88	Facility		$16.39	$31.58	$36.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.94 / $16.39 / $17.32	Professional		$13.94	$16.39	$17.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.60 / $49.13 / $57.90	Facility		$38.60	$49.13	$57.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $45.62 / $58.95	Professional		$35.09	$45.62	$58.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.81 / $27.30 / $79.05	Facility		$22.81	$27.30	$79.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.45 / $18.45 / $169.13	Professional		$18.45	$18.45	$169.13
United Facility/Professional Professional Modifier Low / Median / High Price $15.19 / $28.88 / $48.14	Professional		$15.19	$28.88	$48.14