Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.47 / $102.19 / $186.62	Facility		$41.47	$102.19	$186.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.52 / $41.52	Professional		$41.11	$41.52	$41.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.11 / $82.22 / $108.94	Facility		$41.11	$82.22	$108.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.94 / $41.11 / $58.37	Professional		$34.94	$41.11	$58.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.11 / $41.11 / $61.67	Facility		$41.11	$41.11	$61.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $51.39	Professional		$41.11	$41.11	$51.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.11 / $41.11 / $111.57	Facility		$41.11	$41.11	$111.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $117.10	Professional		$41.11	$41.11	$117.10
United Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $51.41	Professional		$41.11	$41.11	$51.41