Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $30.32 / $51.54	Facility		$27.99	$30.32	$51.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $30.32 / $38.20	Professional		$30.32	$30.32	$38.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.33 / $35.76 / $60.64	Facility		$34.33	$35.76	$60.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $30.32 / $30.32	Professional		$25.77	$30.32	$30.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.32 / $33.35 / $48.51	Facility		$30.32	$33.35	$48.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $33.35 / $48.51	Professional		$30.32	$33.35	$48.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.71 / $30.32 / $333.67	Facility		$24.71	$30.32	$333.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $498.54 / $498.54	Professional		$30.32	$498.54	$498.54
United Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $32.14 / $33.75	Professional		$30.32	$32.14	$33.75