Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $67.61 / $91.20	Professional		$61.66	$67.61	$91.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $39.81 / $61.66	Professional		$30.20	$39.81	$61.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $61.66 / $87.10	Facility		$50.12	$61.66	$87.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $61.66 / $79.43	Professional		$50.12	$61.66	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $109.65 / $323.59	Professional		$63.10	$109.65	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $77.62 / $138.04	Professional		$57.54	$77.62	$138.04