Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.31 / $131.85 / $924.37	Facility		$30.31	$131.85	$924.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.30 / $131.85	Professional		$30.01	$30.30	$131.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.01 / $60.02 / $79.53	Facility		$30.01	$60.02	$79.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $30.01 / $42.61	Professional		$25.50	$30.01	$42.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.01 / $30.01 / $43.59	Facility		$30.01	$30.01	$43.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.01 / $34.51	Professional		$30.01	$30.01	$34.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.01 / $30.01 / $30.01	Facility		$30.01	$30.01	$30.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.12 / $30.01 / $67.02	Professional		$18.12	$30.01	$67.02
United Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.01 / $37.21	Professional		$30.01	$30.01	$37.21