Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.51 / $117.14 / $218.30	Facility		$48.51	$117.14	$218.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $49.45 / $49.45	Professional		$48.96	$49.45	$49.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.96 / $97.92 / $129.74	Facility		$48.96	$97.92	$129.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.61 / $48.96 / $69.52	Professional		$41.61	$48.96	$69.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.96 / $48.96 / $66.09	Facility		$48.96	$48.96	$66.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $48.96 / $56.30	Professional		$48.96	$48.96	$56.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.96 / $48.96 / $130.19	Facility		$48.96	$48.96	$130.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.80 / $48.96 / $134.22	Professional		$47.80	$48.96	$134.22
United Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $54.84 / $82.63	Professional		$48.96	$54.84	$82.63