Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.56 / $66.70 / $203.00	Facility		$47.56	$66.70	$203.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.92 / $47.56 / $55.10	Professional		$42.92	$47.56	$55.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.82 / $52.20 / $174.00	Facility		$45.82	$52.20	$174.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.64 / $23.20	Professional		$9.64	$9.64	$23.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $75.40 / $81.20	Facility		$58.00	$75.40	$81.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $69.59 / $87.00	Professional		$58.00	$69.59	$87.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.70 / $58.00 / $135.00	Facility		$37.70	$58.00	$135.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.72 / $43.58 / $71.04	Professional		$12.72	$43.58	$71.04
United Facility/Professional Professional Modifier Low / Median / High Price $16.37 / $24.36 / $63.74	Professional		$16.37	$24.36	$63.74