Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.23 / $70.64 / $203.54	Facility		$45.23	$70.64	$203.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.23 / $45.23 / $45.23	Professional		$45.23	$45.23	$45.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.11 / $135.84 / $245.83	Facility		$18.11	$135.84	$245.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.11 / $24.99	Professional		$18.11	$18.11	$24.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.28 / $61.13 / $72.45	Facility		$45.28	$61.13	$72.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.28 / $52.07 / $64.18	Professional		$45.28	$52.07	$64.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.43 / $85.59 / $176.22	Facility		$29.43	$85.59	$176.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.79 / $52.04 / $65.05	Professional		$22.79	$52.04	$65.05
United Facility/Professional Professional Modifier Low / Median / High Price $23.07 / $45.23 / $46.13	Professional		$23.07	$45.23	$46.13