Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.14 / $103.10 / $158.66	Facility		$23.14	$103.10	$158.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $19.52 / $22.91	Professional		$19.32	$19.52	$22.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.30 / $38.65 / $57.99	Facility		$20.30	$38.65	$57.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.43 / $19.32 / $27.44	Professional		$16.43	$19.32	$27.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $19.32 / $29.00	Facility		$19.32	$19.32	$29.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $19.32 / $24.16	Professional		$19.32	$19.32	$24.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $19.32 / $19.32	Facility		$19.32	$19.32	$19.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $19.32 / $57.34	Professional		$16.07	$19.32	$57.34
United Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $19.32 / $24.17	Professional		$19.32	$19.32	$24.17