Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.62 / $104.69 / $196.74	Facility		$43.62	$104.69	$196.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.62 / $43.62	Professional		$43.19	$43.62	$43.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.19 / $86.38 / $114.45	Facility		$43.19	$86.38	$114.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.71 / $43.19 / $61.32	Professional		$36.71	$43.19	$61.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.19 / $43.19 / $64.79	Facility		$43.19	$43.19	$64.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.19 / $53.99	Professional		$43.19	$43.19	$53.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.19 / $43.19 / $118.93	Facility		$43.19	$43.19	$118.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.19 / $119.96	Professional		$43.19	$43.19	$119.96
United Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.19 / $53.56	Professional		$43.19	$43.19	$53.56