Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.54 / $63.87 / $204.93	Facility		$45.54	$63.87	$204.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.43 / $45.54 / $52.76	Professional		$44.43	$45.54	$52.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.88 / $49.71 / $166.62	Facility		$43.88	$49.71	$166.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.22 / $22.22 / $33.86	Professional		$22.22	$22.22	$33.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.54 / $66.65 / $88.86	Facility		$55.54	$66.65	$88.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.54 / $61.09 / $74.98	Professional		$55.54	$61.09	$74.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.10 / $55.54 / $129.13	Facility		$36.10	$55.54	$129.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.33 / $64.02 / $80.02	Professional		$29.33	$64.02	$80.02
United Facility/Professional Professional Modifier Low / Median / High Price $23.33 / $33.32 / $55.54	Professional		$23.33	$33.32	$55.54