Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.06 / $88.66 / $263.33	Facility		$37.06	$88.66	$263.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $40.36	Professional		$36.69	$36.69	$40.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.69 / $73.38 / $88.79	Facility		$36.69	$73.38	$88.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $50.63	Professional		$36.69	$36.69	$50.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.69 / $36.69 / $55.04	Facility		$36.69	$36.69	$55.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $45.86	Professional		$36.69	$36.69	$45.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.69 / $36.69 / $47.55	Facility		$36.69	$36.69	$47.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $43.27	Professional		$36.69	$36.69	$43.27
United Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $38.89 / $46.97	Professional		$36.69	$38.89	$46.97