Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.28 / $91.47 / $197.64	Facility		$22.28	$91.47	$197.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $20.92 / $22.06	Professional		$20.72	$20.92	$22.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.76 / $41.44 / $62.16	Facility		$21.76	$41.44	$62.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.61 / $20.72 / $29.42	Professional		$17.61	$20.72	$29.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.72 / $20.72 / $27.97	Facility		$20.72	$20.72	$27.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $20.72 / $25.90	Professional		$20.72	$20.72	$25.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.72 / $20.72 / $20.72	Facility		$20.72	$20.72	$20.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.19 / $20.72 / $61.71	Professional		$20.19	$20.72	$61.71
United Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $20.72 / $27.68	Professional		$20.72	$20.72	$27.68