Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.95 / $93.70 / $258.05	Facility		$21.95	$93.70	$258.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $21.53 / $21.95	Professional		$21.20	$21.53	$21.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.38 / $42.62 / $63.93	Facility		$22.38	$42.62	$63.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $21.31 / $30.26	Professional		$18.11	$21.31	$30.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.31 / $21.31 / $28.77	Facility		$21.31	$21.31	$28.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $24.51	Professional		$21.31	$21.31	$24.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.31 / $21.31 / $21.31	Facility		$21.31	$21.31	$21.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.88 / $21.31 / $53.35	Professional		$17.88	$21.31	$53.35
United Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $26.42	Professional		$21.31	$21.31	$26.42