Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.16 / $63.16 / $63.16	Facility		$63.16	$63.16	$63.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.70 / $48.42 / $63.16	Professional		$40.70	$48.42	$63.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.40 / $30.40 / $58.67	Facility		$30.40	$30.40	$58.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.40 / $30.40 / $48.17	Professional		$30.40	$30.40	$48.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.73 / $95.85 / $145.80	Facility		$73.73	$95.85	$145.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.42 / $88.48 / $110.60	Professional		$77.42	$88.48	$110.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $75.64	Professional		$30.08	$30.08	$75.64
United Facility/Professional Professional Modifier Low / Median / High Price $20.84 / $36.79 / $50.66	Professional		$20.84	$36.79	$50.66