Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.47 / $78.17 / $224.38	Facility		$32.47	$78.17	$224.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.15 / $35.36	Professional		$32.15	$32.15	$35.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.15 / $64.30 / $77.80	Facility		$32.15	$64.30	$77.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.15 / $44.36	Professional		$32.15	$32.15	$44.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.15 / $32.40 / $48.23	Facility		$32.15	$32.40	$48.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.15 / $40.19	Professional		$32.15	$32.15	$40.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.15 / $32.15 / $32.15	Facility		$32.15	$32.15	$32.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.15 / $36.59	Professional		$32.15	$32.15	$36.59
United Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.15 / $37.14	Professional		$32.15	$32.15	$37.14