Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.10 / $83.33 / $166.95	Facility		$37.10	$83.33	$166.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $37.13 / $37.13	Professional		$36.77	$37.13	$37.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.77 / $73.54 / $97.44	Facility		$36.77	$73.54	$97.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.25 / $36.77 / $52.21	Professional		$31.25	$36.77	$52.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.77 / $36.77 / $54.51	Facility		$36.77	$36.77	$54.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $36.77 / $45.96	Professional		$36.77	$36.77	$45.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.77 / $36.77 / $80.92	Facility		$36.77	$36.77	$80.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.70 / $36.77 / $95.48	Professional		$31.70	$36.77	$95.48
United Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $36.77 / $45.98	Professional		$36.77	$36.77	$45.98