Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.81 / $68.30 / $129.65	Facility		$28.81	$68.30	$129.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $28.97 / $28.97	Professional		$28.68	$28.97	$28.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.68 / $57.36 / $76.00	Facility		$28.68	$57.36	$76.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $28.68 / $40.72	Professional		$24.37	$28.68	$40.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.68 / $28.68 / $39.93	Facility		$28.68	$28.68	$39.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $28.68 / $35.85	Professional		$28.68	$28.68	$35.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.68 / $28.68 / $28.68	Facility		$28.68	$28.68	$28.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.01 / $28.68 / $78.27	Professional		$26.01	$28.68	$78.27
United Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $28.68 / $35.56	Professional		$28.68	$28.68	$35.56