Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.38 / $104.99 / $586.12	Facility		$63.38	$104.99	$586.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.88 / $52.82 / $61.19	Professional		$50.88	$52.82	$61.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.88 / $58.81 / $193.23	Facility		$50.88	$58.81	$193.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.42 / $30.47 / $43.26	Professional		$19.42	$30.47	$43.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $77.29 / $86.95	Facility		$64.41	$77.29	$86.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $74.06 / $91.30	Professional		$64.41	$74.06	$91.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.87 / $64.41 / $166.86	Facility		$41.87	$64.41	$166.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.41 / $73.93 / $107.99	Professional		$42.41	$73.93	$107.99
United Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $64.41 / $214.87	Facility		$64.41	$64.41	$214.87
United Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $43.20 / $70.79	Professional		$27.05	$43.20	$70.79