Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.58 / $75.14 / $241.11	Facility		$53.58	$75.14	$241.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.35 / $53.58 / $65.34	Professional		$48.35	$53.58	$65.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.62 / $58.48 / $196.02	Facility		$51.62	$58.48	$196.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.14 / $26.14 / $43.83	Professional		$26.14	$26.14	$43.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.34 / $78.41 / $91.48	Facility		$65.34	$78.41	$91.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $71.87 / $91.48	Professional		$65.34	$71.87	$91.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.47 / $65.34 / $151.76	Facility		$42.47	$65.34	$151.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.50 / $58.73 / $95.00	Professional		$34.50	$58.73	$95.00
United Facility/Professional Facility Modifier Low / Median / High Price $32.93 / $65.34 / $65.34	Facility		$32.93	$65.34	$65.34
United Facility/Professional Professional Modifier Low / Median / High Price $27.44 / $39.20 / $71.81	Professional		$27.44	$39.20	$71.81