Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $97.07 / $310.81	Facility		$60.00	$97.07	$310.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $97.07	Professional		$60.00	$60.00	$97.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.93 / $70.76 / $70.80	Facility		$67.93	$70.76	$70.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $60.00 / $60.00	Professional		$51.00	$60.00	$60.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $65.38 / $96.00	Facility		$60.00	$65.38	$96.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $66.00 / $92.40	Professional		$60.00	$66.00	$92.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $85.89	Facility		$60.00	$60.00	$85.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.45 / $60.00 / $114.07	Professional		$54.45	$60.00	$114.07
United Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $64.26	Professional		$60.00	$60.00	$64.26