Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.48 / $110.88 / $204.37	Facility		$73.48	$110.88	$204.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $73.48 / $105.43	Professional		$73.48	$73.48	$105.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.12 / $28.12 / $28.12	Facility		$28.12	$28.12	$28.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.78 / $28.12 / $28.12	Professional		$19.78	$28.12	$28.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.29 / $98.41 / $133.55	Facility		$70.29	$98.41	$133.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.29 / $91.38 / $118.09	Professional		$70.29	$91.38	$118.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.69 / $53.64 / $92.75	Facility		$45.69	$53.64	$92.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $84.51 / $338.80	Professional		$73.48	$84.51	$338.80
United Facility/Professional Professional Modifier Low / Median / High Price $32.39 / $44.45 / $78.76	Professional		$32.39	$44.45	$78.76