Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.45 / $104.52 / $305.45	Facility		$50.45	$104.52	$305.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $50.45 / $67.20	Professional		$49.95	$50.45	$67.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.45 / $99.90 / $149.85	Facility		$52.45	$99.90	$149.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.45 / $49.95 / $70.92	Professional		$42.45	$49.95	$70.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.95 / $49.95 / $74.93	Facility		$49.95	$49.95	$74.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $62.44	Professional		$49.95	$49.95	$62.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.95 / $49.95 / $49.95	Facility		$49.95	$49.95	$49.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $119.76	Professional		$49.95	$49.95	$119.76
United Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $69.12	Professional		$49.95	$49.95	$69.12