Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.39 / $119.93 / $166.59	Facility		$34.39	$119.93	$166.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $34.39 / $34.39	Professional		$34.04	$34.39	$34.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.04 / $68.09 / $90.23	Facility		$34.04	$68.09	$90.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.94 / $34.04 / $48.35	Professional		$28.94	$34.04	$48.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.04 / $34.04 / $51.08	Facility		$34.04	$34.04	$51.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $34.04 / $42.56	Professional		$34.04	$34.04	$42.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.04 / $34.04 / $182.62	Facility		$34.04	$34.04	$182.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $34.04 / $137.41	Professional		$34.04	$34.04	$137.41
United Facility/Professional Facility Modifier Low / Median / High Price $34.03 / $34.03 / $34.03	Facility		$34.03	$34.03	$34.03
United Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $34.04 / $45.48	Professional		$34.04	$34.04	$45.48