Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.45 / $39.45 / $67.06	Facility		$39.45	$39.45	$67.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $39.45 / $40.38	Professional		$39.45	$39.45	$40.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.65 / $46.51 / $46.55	Facility		$44.65	$46.51	$46.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.53 / $39.45 / $39.45	Professional		$33.53	$39.45	$39.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.45 / $42.90 / $63.12	Facility		$39.45	$42.90	$63.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $41.42 / $60.75	Professional		$39.45	$41.42	$60.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.45 / $39.45 / $87.76	Facility		$39.45	$39.45	$87.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $50.14 / $404.15	Professional		$39.45	$50.14	$404.15
United Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $39.45 / $39.45	Professional		$39.45	$39.45	$39.45