Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $117.49 / $251.19	Facility		$75.86	$117.49	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $61.66 / $72.44	Professional		$19.95	$61.66	$72.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $229.09	Facility		$75.86	$75.86	$229.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $17.78 / $54.95	Professional		$12.02	$17.78	$54.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $95.50	Facility		$39.81	$39.81	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $75.86 / $169.82	Facility		$48.98	$75.86	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $27.54 / $109.65	Professional		$14.13	$27.54	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $75.86 / $75.86	Facility		$19.05	$75.86	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $31.62 / $70.79	Professional		$17.78	$31.62	$70.79