Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.12 / $83.58 / $204.99	Facility		$24.12	$83.58	$204.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $23.88 / $29.90	Professional		$23.88	$23.88	$29.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.88 / $47.76 / $57.79	Facility		$23.88	$47.76	$57.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $23.88 / $32.95	Professional		$23.88	$23.88	$32.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.88 / $23.88 / $35.82	Facility		$23.88	$23.88	$35.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $23.88 / $29.85	Professional		$23.88	$23.88	$29.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.88 / $23.88 / $79.06	Facility		$23.88	$23.88	$79.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $23.88 / $54.89	Professional		$23.88	$23.88	$54.89
United Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $25.31 / $31.90	Professional		$23.88	$25.31	$31.90