Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.07 / $67.41 / $205.17	Facility		$48.07	$67.41	$205.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.38 / $48.07 / $55.69	Professional		$43.38	$48.07	$55.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.31 / $52.76 / $175.86	Facility		$46.31	$52.76	$175.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.13 / $17.13 / $35.52	Professional		$17.13	$17.13	$35.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.62 / $76.20 / $82.07	Facility		$58.62	$76.20	$82.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.62 / $70.34 / $87.93	Professional		$58.62	$70.34	$87.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.10 / $58.62 / $136.66	Facility		$38.10	$58.62	$136.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.16 / $62.84 / $105.24	Professional		$27.16	$62.84	$105.24
United Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $35.17 / $64.42	Professional		$24.62	$35.17	$64.42