Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.38 / $92.76 / $213.21	Facility		$47.38	$92.76	$213.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.77 / $49.77	Professional		$49.28	$49.77	$49.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.74 / $98.56 / $147.84	Facility		$51.74	$98.56	$147.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.88 / $49.28 / $69.97	Professional		$41.88	$49.28	$69.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.28 / $49.28 / $69.65	Facility		$49.28	$49.28	$69.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.28 / $61.60	Professional		$49.28	$49.28	$61.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.28 / $49.28 / $49.28	Facility		$49.28	$49.28	$49.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.70 / $49.28 / $106.29	Professional		$29.70	$49.28	$106.29
United Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.28 / $61.11	Professional		$49.28	$49.28	$61.11