Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.45 / $63.96 / $223.86	Facility		$52.45	$63.96	$223.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $52.45 / $76.93	Professional		$45.00	$52.45	$76.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.53 / $57.24 / $191.88	Facility		$50.53	$57.24	$191.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $50.00	Professional		$25.00	$25.00	$50.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.96 / $76.77 / $89.54	Facility		$63.96	$76.77	$89.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.96 / $70.36 / $90.66	Professional		$63.96	$70.36	$90.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.57 / $63.96 / $148.41	Facility		$41.57	$63.96	$148.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $57.47 / $93.00	Professional		$33.00	$57.47	$93.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.86 / $38.38 / $70.36	Professional		$26.86	$38.38	$70.36