Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.70 / $126.79 / $228.15	Facility		$50.70	$126.79	$228.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.70 / $50.70 / $50.70	Professional		$50.70	$50.70	$50.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.60 / $60.74 / $139.97	Facility		$22.60	$60.74	$139.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.21 / $22.60 / $33.90	Professional		$19.21	$22.60	$33.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.26 / $6.26 / $8.14	Facility		$6.26	$6.26	$8.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.26 / $6.26 / $10.02	Professional		$6.26	$6.26	$10.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.87 / $53.87 / $53.87	Facility		$53.87	$53.87	$53.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.60 / $53.87 / $148.16	Professional		$22.60	$53.87	$148.16
United Facility/Professional Facility Modifier Low / Median / High Price $111.41 / $111.41 / $111.41	Facility		$111.41	$111.41	$111.41
United Facility/Professional Professional Modifier Low / Median / High Price $52.82 / $52.82 / $65.50	Professional		$52.82	$52.82	$65.50