Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.06 / $95.45 / $290.50	Facility		$68.06	$95.45	$290.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.42 / $68.06 / $78.84	Professional		$61.42	$68.06	$78.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.56 / $74.29 / $249.00	Facility		$65.56	$74.29	$249.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $33.20 / $89.11	Professional		$33.20	$33.20	$89.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.00 / $107.90 / $116.20	Facility		$83.00	$107.90	$116.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $99.60 / $124.50	Professional		$83.00	$99.60	$124.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.95 / $83.00 / $192.85	Facility		$53.95	$83.00	$192.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.82 / $74.73 / $120.00	Professional		$43.82	$74.73	$120.00
United Facility/Professional Facility Modifier Low / Median / High Price $83.00 / $83.00 / $83.00	Facility		$83.00	$83.00	$83.00
United Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $48.14 / $91.22	Professional		$34.86	$48.14	$91.22