Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $92.43 / $296.55	Facility		$65.90	$92.43	$296.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.49 / $65.90 / $76.34	Professional		$63.49	$65.90	$76.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.49 / $72.33 / $241.11	Facility		$63.49	$72.33	$241.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.23 / $14.55 / $66.64	Professional		$13.23	$14.55	$66.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $80.37 / $96.44 / $108.50	Facility		$80.37	$96.44	$108.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.37 / $92.43 / $113.92	Professional		$80.37	$92.43	$113.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.24 / $80.37 / $174.97	Facility		$52.24	$80.37	$174.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.99 / $92.10 / $206.66	Professional		$49.99	$92.10	$206.66
United Facility/Professional Professional Modifier Low / Median / High Price $33.76 / $48.33 / $80.37	Professional		$33.76	$48.33	$80.37