Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.95 / $74.33 / $270.00	Facility		$60.95	$74.33	$270.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.95 / $74.78 / $77.80	Professional		$60.95	$74.78	$77.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.72 / $66.90 / $222.99	Facility		$58.72	$66.90	$222.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $35.92 / $71.84	Professional		$35.92	$35.92	$71.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.33 / $89.20 / $104.06	Facility		$74.33	$89.20	$104.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.33 / $81.76 / $105.36	Professional		$74.33	$81.76	$105.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.38 / $74.33 / $187.81	Facility		$58.38	$74.33	$187.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.41 / $67.84 / $127.70	Professional		$47.41	$67.84	$127.70
United Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $44.60 / $81.69	Professional		$31.22	$44.60	$81.69