Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.98 / $67.78 / $198.76	Facility		$28.98	$67.78	$198.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.29 / $34.72	Professional		$29.29	$29.29	$34.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $58.58 / $70.88	Facility		$29.29	$58.58	$70.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.29 / $40.42	Professional		$29.29	$29.29	$40.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $29.29 / $43.94	Facility		$29.29	$29.29	$43.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.29 / $36.61	Professional		$29.29	$29.29	$36.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $29.29 / $30.91	Facility		$29.29	$29.29	$30.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.29 / $33.15	Professional		$29.29	$29.29	$33.15
United Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $31.05 / $33.93	Professional		$29.29	$31.05	$33.93