Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $91.20 / $204.17	Facility		$57.54	$91.20	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $46.77 / $66.07	Professional		$42.66	$46.77	$66.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $173.78	Facility		$57.54	$57.54	$173.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $35.48 / $57.54	Professional		$28.84	$35.48	$57.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $72.44	Facility		$46.77	$46.77	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $144.54 / $154.88	Professional		$52.48	$144.54	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $57.54 / $57.54	Facility		$26.30	$57.54	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $37.15 / $63.10	Professional		$24.55	$37.15	$63.10