Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.82 / $102.00 / $188.19	Facility		$41.82	$102.00	$188.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.90 / $42.90	Professional		$42.48	$42.90	$42.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.48 / $84.96 / $112.57	Facility		$42.48	$84.96	$112.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.10 / $42.48 / $60.32	Professional		$36.10	$42.48	$60.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.48 / $42.48 / $63.05	Facility		$42.48	$42.48	$63.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.48 / $53.10	Professional		$42.48	$42.48	$53.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.48 / $42.48 / $42.48	Facility		$42.48	$42.48	$42.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.41 / $42.48 / $116.88	Professional		$41.41	$42.48	$116.88
United Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.48 / $53.16	Professional		$42.48	$42.48	$53.16