Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.47 / $63.68 / $108.26	Facility		$62.47	$63.68	$108.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $63.68 / $63.68	Professional		$63.68	$63.68	$63.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.09 / $75.09 / $127.36	Facility		$72.09	$75.09	$127.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.12 / $63.68 / $63.68	Professional		$54.12	$63.68	$63.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.68 / $69.25 / $101.89	Facility		$63.68	$69.25	$101.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $70.05 / $98.07	Professional		$63.68	$70.05	$98.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.68 / $63.68 / $113.87	Facility		$63.68	$63.68	$113.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.23 / $63.68 / $102.96	Professional		$46.23	$63.68	$102.96
United Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $63.68 / $71.31	Professional		$63.68	$63.68	$71.31