Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.17 / $90.00 / $288.77	Facility		$64.17	$90.00	$288.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.83 / $64.17 / $74.34	Professional		$61.83	$64.17	$74.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.83 / $74.59 / $234.78	Facility		$61.83	$74.59	$234.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $40.53 / $64.95	Professional		$38.65	$40.53	$64.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.26 / $93.91 / $105.65	Facility		$78.26	$93.91	$105.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.26 / $90.00 / $110.93	Professional		$78.26	$90.00	$110.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.45 / $78.26 / $202.07	Facility		$54.45	$78.26	$202.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.99 / $90.03 / $172.30	Professional		$48.99	$90.03	$172.30
United Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $59.04 / $78.26	Facility		$53.70	$59.04	$78.26
United Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $47.85 / $86.09	Professional		$32.86	$47.85	$86.09