Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.78 / $89.45 / $287.01	Facility		$63.78	$89.45	$287.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.45 / $63.78 / $73.89	Professional		$61.45	$63.78	$73.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.45 / $70.00 / $233.34	Facility		$61.45	$70.00	$233.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.92 / $25.48 / $46.59	Professional		$18.92	$25.48	$46.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.78 / $93.34 / $105.00	Facility		$77.78	$93.34	$105.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $89.45 / $110.25	Professional		$77.78	$89.45	$110.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.56 / $77.78 / $181.10	Facility		$50.56	$77.78	$181.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.84 / $85.97 / $111.51	Professional		$24.84	$85.97	$111.51
United Facility/Professional Facility Modifier Low / Median / High Price $69.79 / $77.78 / $77.78	Facility		$69.79	$77.78	$77.78
United Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $33.04 / $70.00	Professional		$28.00	$33.04	$70.00