Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.71 / $39.71 / $41.97	Facility		$39.71	$39.71	$41.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $41.55	Professional		$39.31	$39.31	$41.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $39.31 / $75.87	Facility		$39.31	$39.31	$75.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $55.82	Professional		$39.31	$39.31	$55.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $39.31 / $60.93	Facility		$39.31	$39.31	$60.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $47.17	Professional		$39.31	$39.31	$47.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $39.31 / $39.31	Facility		$39.31	$39.31	$39.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $170.74	Professional		$39.31	$39.31	$170.74
United Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $58.97	Professional		$39.31	$39.31	$58.97