Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.43 / $49.61 / $153.81	Facility		$22.43	$49.61	$153.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $22.54 / $26.87	Professional		$22.54	$22.54	$26.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.54 / $45.08 / $54.55	Facility		$22.54	$45.08	$54.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $22.54 / $31.10	Professional		$22.54	$22.54	$31.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.54 / $22.54 / $33.81	Facility		$22.54	$22.54	$33.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $22.54 / $28.18	Professional		$22.54	$22.54	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.54 / $22.54 / $22.54	Facility		$22.54	$22.54	$22.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $22.54 / $25.52	Professional		$22.54	$22.54	$25.52
United Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $23.89 / $26.10	Professional		$22.54	$23.89	$26.10