Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $91.20 / $398.11	Facility		$64.57	$91.20	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $61.66 / $77.62	Professional		$48.98	$61.66	$77.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $194.98	Facility		$66.07	$66.07	$194.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $64.57	Professional		$32.36	$32.36	$64.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $66.07 / $66.07	Facility		$52.48	$66.07	$66.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $72.44 / $91.20	Professional		$66.07	$72.44	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $66.07 / $131.83	Facility		$46.77	$66.07	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $67.61 / $125.89	Professional		$42.66	$67.61	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $38.90 / $72.44	Professional		$27.54	$38.90	$72.44