Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.06 / $98.21 / $187.25	Facility		$41.06	$98.21	$187.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $41.06 / $43.91	Professional		$40.65	$41.06	$43.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.68 / $81.30 / $121.95	Facility		$42.68	$81.30	$121.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $41.20 / $58.50	Professional		$40.65	$41.20	$58.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $40.65 / $60.98	Facility		$40.65	$40.65	$60.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $50.81	Professional		$40.65	$40.65	$50.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $40.65 / $40.65	Facility		$40.65	$40.65	$40.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $56.16	Professional		$40.65	$40.65	$56.16
United Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $54.30	Professional		$40.65	$40.65	$54.30