Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $65.59 / $199.64	Facility		$46.77	$65.59	$199.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $54.19 / $97.19	Professional		$28.52	$54.19	$97.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.06 / $51.05 / $171.12	Facility		$45.06	$51.05	$171.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.82 / $22.82 / $70.23	Professional		$22.82	$22.82	$70.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.04 / $68.45 / $79.86	Facility		$57.04	$68.45	$79.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.04 / $62.74 / $80.84	Professional		$57.04	$62.74	$80.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.08 / $57.04 / $132.47	Facility		$37.08	$57.04	$132.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.12 / $51.19 / $82.87	Professional		$30.12	$51.19	$82.87
United Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $34.22 / $62.69	Professional		$23.96	$34.22	$62.69