Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.40 / $144.41 / $209.98	Facility		$32.40	$144.41	$209.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $63.69 / $63.69	Professional		$63.06	$63.69	$63.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.06 / $126.12 / $167.11	Facility		$63.06	$126.12	$167.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.60 / $63.06 / $89.54	Professional		$53.60	$63.06	$89.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.06 / $63.06 / $94.59	Facility		$63.06	$63.06	$94.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $63.06 / $78.83	Professional		$63.06	$63.06	$78.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.06 / $63.06 / $63.06	Facility		$63.06	$63.06	$63.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $63.06 / $240.60	Professional		$63.06	$63.06	$240.60
United Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $70.20 / $126.12	Professional		$63.06	$70.20	$126.12