Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $128.82 / $257.04	Facility		$57.54	$128.82	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $61.66	Professional		$57.54	$57.54	$61.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $85.11 / $125.89	Facility		$67.61	$85.11	$125.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $109.65	Professional		$57.54	$57.54	$109.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $100.00	Facility		$56.23	$56.23	$100.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $61.66	Professional		$56.23	$56.23	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $128.82	Facility		$57.54	$57.54	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $147.91	Professional		$57.54	$57.54	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $109.65	Facility		$46.77	$46.77	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $66.07	Professional		$57.54	$57.54	$66.07