Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.14 / $223.66 / $563.94	Facility		$67.14	$223.66	$563.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.14 / $67.14 / $67.14	Professional		$67.14	$67.14	$67.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.67 / $125.32 / $250.64	Facility		$81.67	$125.32	$250.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.25 / $125.32 / $169.18	Professional		$100.25	$125.32	$169.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.25 / $47.25 / $59.50	Facility		$47.25	$47.25	$59.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.25 / $47.25 / $59.06	Professional		$47.25	$47.25	$59.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.60 / $47.60 / $47.60	Facility		$47.60	$47.60	$47.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $47.60 / $261.42	Professional		$47.60	$47.60	$261.42
United Facility/Professional Professional Modifier Low / Median / High Price $46.67 / $46.67 / $79.34	Professional		$46.67	$46.67	$79.34