Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.96 / $67.26 / $204.72	Facility		$47.96	$67.26	$204.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $47.96 / $55.57	Professional		$29.25	$47.96	$55.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.21 / $52.35 / $175.47	Facility		$46.21	$52.35	$175.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.40 / $23.40 / $60.88	Professional		$23.40	$23.40	$60.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.49 / $76.04 / $81.89	Facility		$58.49	$76.04	$81.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.49 / $70.19 / $87.74	Professional		$58.49	$70.19	$87.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $58.49 / $135.83	Facility		$38.02	$58.49	$135.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.89 / $52.76 / $85.00	Professional		$30.89	$52.76	$85.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.57 / $35.09 / $64.28	Professional		$24.57	$35.09	$64.28