Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.09 / $63.06 / $107.20	Facility		$32.09	$63.06	$107.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $63.06 / $79.45	Professional		$63.06	$63.06	$79.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.39 / $74.36 / $126.12	Facility		$71.39	$74.36	$126.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.60 / $63.06 / $63.06	Professional		$53.60	$63.06	$63.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.06 / $63.06 / $100.90	Facility		$63.06	$63.06	$100.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $69.37 / $97.11	Professional		$63.06	$69.37	$97.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.06 / $63.06 / $279.74	Facility		$63.06	$63.06	$279.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $197.52 / $275.83	Professional		$63.06	$197.52	$275.83
United Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $66.84 / $70.20	Professional		$63.06	$66.84	$70.20