Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.34 / $135.41 / $231.03	Facility		$51.34	$135.41	$231.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.34 / $51.34 / $51.34	Professional		$51.34	$51.34	$51.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.81 / $112.84 / $169.26	Facility		$59.81	$112.84	$169.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.83 / $59.81 / $84.93	Professional		$50.83	$59.81	$84.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.97 / $79.97 / $100.71	Facility		$79.97	$79.97	$100.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.97 / $79.97 / $99.97	Professional		$79.97	$79.97	$99.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.55 / $54.55 / $54.55	Facility		$54.55	$54.55	$54.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.55 / $54.55 / $150.01	Professional		$54.55	$54.55	$150.01
United Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $69.95	Professional		$56.42	$56.42	$69.95