Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.38 / $52.38 / $52.38	Facility		$52.38	$52.38	$52.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.76 / $41.28 / $52.38	Professional		$33.76	$41.28	$52.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.21 / $25.21 / $48.66	Facility		$25.21	$25.21	$48.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $25.21 / $39.95	Professional		$25.21	$25.21	$39.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.14 / $79.48 / $120.91	Facility		$61.14	$79.48	$120.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.20 / $73.37 / $91.71	Professional		$64.20	$73.37	$91.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $24.95 / $62.72	Professional		$24.95	$24.95	$62.72
United Facility/Professional Professional Modifier Low / Median / High Price $17.28 / $30.50 / $42.01	Professional		$17.28	$30.50	$42.01