Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.33 / $83.33 / $149.99	Facility		$33.33	$83.33	$149.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.33 / $33.33 / $33.33	Professional		$33.33	$33.33	$33.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.46 / $69.44 / $114.58	Facility		$36.46	$69.44	$114.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.97 / $32.69 / $46.41	Professional		$29.97	$32.69	$46.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.68 / $2.68 / $3.48	Facility		$2.68	$2.68	$3.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.68 / $2.68 / $4.29	Professional		$2.68	$2.68	$4.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.40 / $35.40 / $35.40	Facility		$35.40	$35.40	$35.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.69 / $35.40 / $97.38	Professional		$32.69	$35.40	$97.38
United Facility/Professional Facility Modifier Low / Median / High Price $87.50 / $87.50 / $87.50	Facility		$87.50	$87.50	$87.50
United Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $34.72 / $43.42	Professional		$34.72	$34.72	$43.42