Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.69 / $88.32 / $111.11	Facility		$24.69	$88.32	$111.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $30.14 / $30.14	Professional		$29.84	$30.14	$30.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.84 / $59.68 / $79.08	Facility		$29.84	$59.68	$79.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.36 / $29.84 / $42.37	Professional		$25.36	$29.84	$42.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.84 / $29.84 / $44.76	Facility		$29.84	$29.84	$44.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $29.84 / $37.29	Professional		$29.84	$29.84	$37.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.84 / $29.84 / $29.84	Facility		$29.84	$29.84	$29.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $29.84 / $101.20	Professional		$29.84	$29.84	$101.20
United Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $29.84 / $39.86	Professional		$29.84	$29.84	$39.86