Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $47.86 / $52.48	Professional		$33.88	$47.86	$52.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $85.11 / $107.15	Facility		$69.18	$85.11	$107.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $67.61 / $104.71	Professional		$63.10	$67.61	$104.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $102.33 / $138.04	Facility		$12.02	$102.33	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $46.77 / $46.77	Facility		$32.36	$46.77	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $46.77 / $93.33	Professional		$39.81	$46.77	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $33.88 / $60.26	Facility		$4.17	$33.88	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $41.69 / $64.57	Professional		$25.70	$41.69	$64.57