Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.94 / $138.03 / $369.81	Facility		$53.94	$138.03	$369.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.94 / $57.51 / $63.26	Professional		$53.94	$57.51	$63.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.39 / $115.02 / $172.53	Facility		$60.39	$115.02	$172.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $79.36	Professional		$57.51	$57.51	$79.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.51 / $57.51 / $86.27	Facility		$57.51	$57.51	$86.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $71.89	Professional		$57.51	$57.51	$71.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.51 / $57.51 / $57.51	Facility		$57.51	$57.51	$57.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.89 / $57.51 / $61.84	Professional		$55.89	$57.51	$61.84
United Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $65.48	Professional		$57.51	$57.51	$65.48