Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.55 / $104.26 / $202.23	Facility		$44.55	$104.26	$202.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $44.54 / $44.55	Professional		$44.11	$44.54	$44.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.11 / $88.22 / $116.89	Facility		$44.11	$88.22	$116.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.49 / $44.11 / $62.63	Professional		$37.49	$44.11	$62.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.11 / $44.11 / $65.72	Facility		$44.11	$44.11	$65.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $44.11 / $50.73	Professional		$44.11	$44.11	$50.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.11 / $44.11 / $122.23	Facility		$44.11	$44.11	$122.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $44.11 / $119.46	Professional		$43.50	$44.11	$119.46
United Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $44.11 / $74.98	Professional		$44.11	$44.11	$74.98