Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $87.10 / $194.98	Facility		$54.95	$87.10	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $45.71 / $281.84	Professional		$43.65	$45.71	$281.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $165.96	Facility		$54.95	$54.95	$165.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $26.30 / $44.67	Professional		$22.39	$26.30	$44.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $69.18	Facility		$50.12	$50.12	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $54.95 / $102.33	Facility		$36.31	$54.95	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $50.12 / $87.10	Professional		$25.70	$50.12	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $54.95 / $54.95	Facility		$25.12	$54.95	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.11 / $54.95	Professional		$23.44	$33.11	$54.95