Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.43 / $46.43 / $46.43	Facility		$46.43	$46.43	$46.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.56 / $46.43 / $64.48	Professional		$40.56	$46.43	$64.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.30 / $78.30 / $151.12	Facility		$78.30	$78.30	$151.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $78.30 / $105.70	Professional		$52.59	$78.30	$105.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.73 / $721.80 / $1,804.14	Facility		$72.73	$721.80	$1,804.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.86 / $103.36 / $111.44	Professional		$87.86	$103.36	$111.44
United Facility/Professional Professional Modifier Low / Median / High Price $47.09 / $61.50 / $100.23	Professional		$47.09	$61.50	$100.23