Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.96 / $58.66 / $136.84	Facility		$19.96	$58.66	$136.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $23.91	Professional		$21.70	$21.70	$23.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.70 / $43.40 / $52.51	Facility		$21.70	$43.40	$52.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $29.94	Professional		$21.70	$21.70	$29.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.70 / $21.70 / $32.54	Facility		$21.70	$21.70	$32.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $27.13	Professional		$21.70	$21.70	$27.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.70 / $21.70 / $30.58	Facility		$21.70	$21.70	$30.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $41.65	Professional		$21.70	$21.70	$41.65
United Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $23.00 / $28.99	Professional		$21.70	$23.00	$28.99