Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.91 / $119.64 / $220.10	Facility		$48.91	$119.64	$220.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $49.52 / $49.52	Professional		$49.03	$49.52	$49.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.03 / $98.06 / $129.93	Facility		$49.03	$98.06	$129.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.67 / $49.03 / $69.62	Professional		$41.67	$49.03	$69.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.03 / $49.03 / $73.55	Facility		$49.03	$49.03	$73.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $49.03 / $61.29	Professional		$49.03	$49.03	$61.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.03 / $49.03 / $119.15	Facility		$49.03	$49.03	$119.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.87 / $49.03 / $137.09	Professional		$47.87	$49.03	$137.09
United Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $49.03 / $60.80	Professional		$49.03	$49.03	$60.80