Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.11 / $77.29 / $248.00	Facility		$55.11	$77.29	$248.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.10 / $55.11 / $63.85	Professional		$53.10	$55.11	$63.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.10 / $64.06 / $201.63	Facility		$53.10	$64.06	$201.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.19 / $34.81 / $55.76	Professional		$33.19	$34.81	$55.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $80.65 / $90.73	Facility		$67.20	$80.65	$90.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $77.29 / $95.27	Professional		$67.20	$77.29	$95.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.04 / $67.20 / $173.57	Facility		$49.04	$67.20	$173.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.43 / $77.23 / $149.28	Professional		$34.43	$77.23	$149.28
United Facility/Professional Facility Modifier Low / Median / High Price $83.76 / $83.76 / $83.76	Facility		$83.76	$83.76	$83.76
United Facility/Professional Professional Modifier Low / Median / High Price $28.23 / $40.33 / $67.20	Professional		$28.23	$40.33	$67.20