Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.56 / $66.70 / $214.02	Facility		$47.56	$66.70	$214.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.82 / $47.56 / $55.10	Professional		$45.82	$47.56	$55.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.82 / $55.28 / $174.00	Facility		$45.82	$55.28	$174.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.64 / $30.04 / $48.08	Professional		$28.64	$30.04	$48.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $69.59 / $78.30	Facility		$58.00	$69.59	$78.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $66.70 / $82.22	Professional		$58.00	$66.70	$82.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $83.12 / $145.84	Professional		$66.48	$83.12	$145.84
United Facility/Professional Facility Modifier Low / Median / High Price $197.27 / $197.27 / $197.27	Facility		$197.27	$197.27	$197.27
United Facility/Professional Professional Modifier Low / Median / High Price $24.36 / $34.79 / $58.00	Professional		$24.36	$34.79	$58.00