Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.22 / $95.66 / $283.79	Facility		$40.22	$95.66	$283.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $40.22 / $40.22	Professional		$39.83	$40.22	$40.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.82 / $79.64 / $105.55	Facility		$39.82	$79.64	$105.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.85 / $39.83 / $56.55	Professional		$33.85	$39.83	$56.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.83 / $39.83 / $59.75	Facility		$39.83	$39.83	$59.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $49.79	Professional		$39.83	$39.83	$49.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.83 / $39.83 / $39.83	Facility		$39.83	$39.83	$39.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $109.62	Professional		$39.83	$39.83	$109.62
United Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $49.81	Professional		$39.83	$39.83	$49.81