Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.78 / $106.97 / $192.51	Facility		$42.78	$106.97	$192.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.78 / $42.78 / $42.78	Professional		$42.78	$42.78	$42.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.80 / $89.14 / $147.08	Facility		$46.80	$89.14	$147.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.57 / $73.09 / $86.02	Professional		$44.57	$73.09	$86.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.17 / $63.17 / $85.57	Facility		$63.17	$63.17	$85.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.17 / $75.80 / $85.27	Professional		$63.17	$75.80	$85.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.46 / $45.46 / $45.46	Facility		$45.46	$45.46	$45.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.46 / $45.46 / $125.02	Professional		$45.46	$45.46	$125.02