Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $45.71 / $109.65	Facility		$29.51	$45.71	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $23.99 / $28.18	Professional		$20.89	$23.99	$28.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $89.13	Facility		$29.51	$29.51	$89.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.45 / $28.18	Professional		$14.13	$14.45	$28.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $436.52 / $645.65	Facility		$28.84	$436.52	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Facility		$29.51	$29.51	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $36.31 / $89.13	Professional		$18.62	$36.31	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Facility		$29.51	$29.51	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.78 / $32.36	Professional		$12.30	$17.78	$32.36