Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.67 / $78.59 / $142.52	Facility		$31.67	$78.59	$142.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $37.04 / $37.04	Professional		$36.69	$37.04	$37.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.52 / $73.38 / $110.07	Facility		$38.52	$73.38	$110.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.18 / $36.69 / $52.09	Professional		$31.18	$36.69	$52.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.69 / $36.69 / $49.53	Facility		$36.69	$36.69	$49.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $45.86	Professional		$36.69	$36.69	$45.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.69 / $36.69 / $36.69	Facility		$36.69	$36.69	$36.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $90.06	Professional		$36.69	$36.69	$90.06
United Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $62.37	Professional		$36.69	$36.69	$62.37