Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.99 / $75.59 / $249.48	Facility		$61.99	$75.59	$249.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.92 / $61.99 / $71.81	Professional		$32.92	$61.99	$71.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.72 / $67.66 / $226.80	Facility		$59.72	$67.66	$226.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $13.16 / $30.24	Professional		$11.97	$13.16	$30.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.59 / $90.73 / $105.84	Facility		$75.59	$90.73	$105.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $86.94 / $109.62	Professional		$75.59	$86.94	$109.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.14 / $75.59 / $176.09	Facility		$49.14	$75.59	$176.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.38 / $34.92 / $108.93	Professional		$13.38	$34.92	$108.93
United Facility/Professional Professional Modifier Low / Median / High Price $17.96 / $31.75 / $70.63	Professional		$17.96	$31.75	$70.63