Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.71 / $82.42 / $139.86	Facility		$25.71	$82.42	$139.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $25.71 / $30.77	Professional		$25.46	$25.71	$30.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.46 / $50.92 / $67.47	Facility		$25.46	$50.92	$67.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $25.46 / $36.15	Professional		$21.64	$25.46	$36.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.46 / $25.46 / $38.19	Facility		$25.46	$25.46	$38.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $25.46 / $31.83	Professional		$25.46	$25.46	$31.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.46 / $25.46 / $25.46	Facility		$25.46	$25.46	$25.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $25.46 / $94.44	Professional		$25.46	$25.46	$94.44
United Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $28.52 / $34.01	Professional		$25.46	$28.52	$34.01