Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.58 / $121.13 / $542.97	Facility		$25.58	$121.13	$542.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.58 / $119.47	Professional		$25.33	$25.58	$119.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.33 / $50.66 / $67.12	Facility		$25.33	$50.66	$67.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $25.33 / $35.96	Professional		$21.53	$25.33	$35.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.33 / $25.33 / $38.00	Facility		$25.33	$25.33	$38.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.33 / $40.53	Professional		$25.33	$25.33	$40.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.33 / $25.33 / $25.33	Facility		$25.33	$25.33	$25.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.33 / $401.92	Professional		$25.33	$25.33	$401.92
United Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $28.20 / $43.06	Professional		$25.33	$28.20	$43.06