Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.84 / $233.28 / $595.22	Facility		$51.84	$233.28	$595.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.84 / $51.84 / $51.84	Professional		$51.84	$51.84	$51.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.84 / $108.00 / $162.00	Facility		$46.84	$108.00	$162.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.14 / $35.46 / $53.19	Professional		$30.14	$35.46	$53.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.35 / $8.35 / $10.86	Facility		$8.35	$8.35	$10.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.35 / $8.35 / $13.36	Professional		$8.35	$8.35	$13.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.08 / $55.08 / $55.08	Facility		$55.08	$55.08	$55.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.68 / $55.08 / $151.47	Professional		$31.68	$55.08	$151.47
United Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $64.80	Professional		$54.00	$54.00	$64.80