Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.18 / $44.10 / $104.31	Facility		$23.18	$44.10	$104.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.18 / $23.18 / $29.67	Professional		$23.18	$23.18	$29.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.33 / $25.44 / $84.81	Facility		$22.33	$25.44	$84.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.96 / $15.35 / $34.36	Professional		$13.96	$15.35	$34.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.27 / $33.92 / $38.15	Facility		$28.27	$33.92	$38.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.27 / $32.51 / $40.07	Professional		$28.27	$32.51	$40.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.27 / $28.27 / $62.77	Facility		$28.27	$28.27	$62.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $29.25 / $36.56	Professional		$14.86	$29.25	$36.56
United Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $16.96 / $26.50	Professional		$11.87	$16.96	$26.50