Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $141.25 / $776.25	Facility		$26.92	$141.25	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $19.05	Professional		$18.20	$18.20	$19.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $27.54 / $41.69	Facility		$21.38	$27.54	$41.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $34.67	Professional		$18.20	$18.20	$34.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $33.11	Facility		$18.62	$18.62	$33.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $20.42	Professional		$18.62	$18.62	$20.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $51.29	Professional		$18.20	$18.20	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $22.91	Professional		$18.20	$18.20	$22.91