Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $39.81 / $39.81	Facility		$38.90	$39.81	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $43.65	Professional		$38.90	$38.90	$43.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $234.42 / $512.86	Facility		$52.48	$234.42	$512.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $83.18	Professional		$38.90	$38.90	$83.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $58.88 / $79.43	Facility		$38.90	$58.88	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $50.12	Professional		$38.90	$38.90	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $446.68 / $954.99	Professional		$125.89	$446.68	$954.99