Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.53 / $51.30 / $77.79	Facility		$43.53	$51.30	$77.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.53 / $58.14 / $83.98	Professional		$43.53	$58.14	$83.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.66 / $84.06 / $162.24	Facility		$73.66	$84.06	$162.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.48 / $84.06 / $113.24	Professional		$63.48	$84.06	$113.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.61 / $75.13 / $103.12	Facility		$62.61	$75.13	$103.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.66 / $85.32 / $99.44	Professional		$73.66	$85.32	$99.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $77.69 / $218.30	Professional		$65.63	$77.69	$218.30
United Facility/Professional Professional Modifier Low / Median / High Price $72.84 / $88.01 / $122.96	Professional		$72.84	$88.01	$122.96