Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.38 / $97.49 / $190.71	Facility		$42.38	$97.49	$190.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $42.40 / $42.40	Professional		$41.98	$42.40	$42.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.98 / $83.96 / $111.25	Facility		$41.98	$83.96	$111.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.68 / $41.98 / $59.61	Professional		$35.68	$41.98	$59.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.98 / $41.98 / $57.16	Facility		$41.98	$41.98	$57.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $41.98 / $52.48	Professional		$41.98	$41.98	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.98 / $41.98 / $99.48	Facility		$41.98	$41.98	$99.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $41.98 / $111.71	Professional		$38.47	$41.98	$111.71
United Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $41.98 / $52.50	Professional		$41.98	$41.98	$52.50