Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.39 / $56.76 / $119.32	Facility		$17.39	$56.76	$119.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $20.04 / $20.04	Professional		$19.84	$20.04	$20.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.83 / $39.68 / $59.52	Facility		$20.83	$39.68	$59.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $19.84 / $28.17	Professional		$16.86	$19.84	$28.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.84 / $19.84 / $29.76	Facility		$19.84	$19.84	$29.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $19.84 / $24.80	Professional		$19.84	$19.84	$24.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.84 / $19.84 / $19.84	Facility		$19.84	$19.84	$19.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $19.84 / $65.04	Professional		$19.84	$19.84	$65.04
United Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $19.84 / $33.72	Professional		$19.84	$19.84	$33.72