Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.65 / $94.51 / $3,876.10	Facility		$39.65	$94.51	$3,876.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $39.65 / $39.65	Professional		$39.65	$39.65	$39.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.78 / $69.56 / $109.47	Facility		$34.78	$69.56	$109.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.69 / $34.78 / $49.38	Professional		$28.69	$34.78	$49.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.70 / $18.70 / $27.20	Facility		$18.70	$18.70	$27.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $18.70 / $18.70	Professional		$18.70	$18.70	$18.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.14 / $42.14 / $42.14	Facility		$42.14	$42.14	$42.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.78 / $42.14 / $92.04	Professional		$34.78	$42.14	$92.04
United Facility/Professional Professional Modifier Low / Median / High Price $41.31 / $41.31 / $55.18	Professional		$41.31	$41.31	$55.18