Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.69 / $76.70 / $246.11	Facility		$54.69	$76.70	$246.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.69 / $54.69 / $63.37	Professional		$52.69	$54.69	$63.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.69 / $63.57 / $200.10	Facility		$52.69	$63.57	$200.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.94 / $35.60 / $55.36	Professional		$32.94	$35.60	$55.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $80.04 / $90.05	Facility		$66.70	$80.04	$90.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $76.70 / $94.55	Professional		$66.70	$76.70	$94.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.48 / $66.70 / $172.71	Facility		$48.48	$66.70	$172.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.62 / $76.41 / $133.31	Professional		$43.62	$76.41	$133.31
United Facility/Professional Professional Modifier Low / Median / High Price $28.01 / $40.78 / $66.70	Professional		$28.01	$40.78	$66.70