Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $117.60 / $219.87	Facility		$48.00	$117.60	$219.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $48.00 / $48.00	Professional		$47.53	$48.00	$48.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.52 / $95.04 / $125.95	Facility		$47.52	$95.04	$125.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $47.52 / $67.47	Professional		$40.40	$47.52	$67.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.53 / $47.53 / $64.17	Facility		$47.53	$47.53	$64.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $47.53 / $59.41	Professional		$47.53	$47.53	$59.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.52 / $47.52 / $112.40	Facility		$47.52	$47.52	$112.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.06 / $47.52 / $134.75	Professional		$41.06	$47.52	$134.75
United Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $53.23 / $80.80	Professional		$47.53	$53.23	$80.80