Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.80 / $76.78 / $197.51	Facility		$28.80	$76.78	$197.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $32.61	Professional		$28.52	$28.52	$32.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $57.04 / $69.02	Facility		$28.52	$57.04	$69.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $39.35	Professional		$28.52	$28.52	$39.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $28.52 / $42.78	Facility		$28.52	$28.52	$42.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $35.65	Professional		$28.52	$28.52	$35.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $28.52 / $32.61	Facility		$28.52	$28.52	$32.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $32.61	Professional		$28.52	$28.52	$32.61
United Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $30.23 / $35.36	Professional		$28.52	$30.23	$35.36