Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.53 / $47.53 / $80.80	Facility		$47.53	$47.53	$80.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $47.53 / $68.59	Professional		$47.53	$47.53	$68.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.80 / $56.04 / $95.06	Facility		$53.80	$56.04	$95.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $47.53 / $47.53	Professional		$40.40	$47.53	$47.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.53 / $51.68 / $76.05	Facility		$47.53	$51.68	$76.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $52.28 / $73.20	Professional		$47.53	$52.28	$73.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.52 / $47.52 / $99.07	Facility		$47.52	$47.52	$99.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $47.52 / $90.08	Professional		$38.22	$47.52	$90.08
United Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $47.53 / $53.23	Professional		$47.53	$47.53	$53.23