Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $77.06 / $163.22	Facility		$35.90	$77.06	$163.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.90 / $35.90	Professional		$35.54	$35.90	$35.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.54 / $71.09 / $94.21	Facility		$35.54	$71.09	$94.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.21 / $35.54 / $50.48	Professional		$30.21	$35.54	$50.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.54 / $35.54 / $53.33	Facility		$35.54	$35.54	$53.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.54 / $44.44	Professional		$35.54	$35.54	$44.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.54 / $35.54 / $35.54	Facility		$35.54	$35.54	$35.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $35.54 / $90.06	Professional		$25.12	$35.54	$90.06
United Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.54 / $42.11	Professional		$35.54	$35.54	$42.11