Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.00 / $124.19 / $473.99	Facility		$82.00	$124.19	$473.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.33 / $105.33 / $105.33	Professional		$105.33	$105.33	$105.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.00 / $238.83 / $572.11	Facility		$6.00	$238.83	$572.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $6.00 / $33.20	Professional		$6.00	$6.00	$33.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.61 / $107.47 / $127.38	Facility		$79.61	$107.47	$127.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.61 / $91.55 / $112.85	Professional		$79.61	$91.55	$112.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.75 / $51.75 / $150.38	Facility		$51.75	$51.75	$150.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.92 / $91.48 / $114.35	Professional		$7.92	$91.48	$114.35
United Facility/Professional Professional Modifier Low / Median / High Price $40.28 / $58.01 / $105.49	Professional		$40.28	$58.01	$105.49