Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.14 / $135.36 / $243.63	Facility		$54.14	$135.36	$243.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.14 / $54.14 / $54.14	Professional		$54.14	$54.14	$54.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.22 / $112.80 / $169.20	Facility		$59.22	$112.80	$169.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.94 / $56.40 / $77.83	Professional		$47.94	$56.40	$77.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.95 / $79.95 / $97.71	Facility		$79.95	$79.95	$97.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.95 / $79.95 / $99.93	Professional		$79.95	$79.95	$99.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.53 / $57.53 / $57.53	Facility		$57.53	$57.53	$57.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $57.53 / $158.21	Professional		$57.53	$57.53	$158.21
United Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $56.40 / $69.94	Professional		$56.40	$56.40	$69.94