Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $72.44	Professional		$57.54	$57.54	$72.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $63.10 / $83.18	Facility		$57.54	$63.10	$83.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $69.18 / $83.18	Professional		$57.54	$69.18	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.38 / $177.83	Professional		$12.30	$17.38	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $24.55 / $56.23	Professional		$11.75	$24.55	$56.23