Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $134.90 / $245.47	Facility		$54.95	$134.90	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $54.95 / $58.88	Professional		$53.70	$54.95	$58.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $81.28 / $120.23	Facility		$64.57	$81.28	$120.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $104.71	Professional		$54.95	$54.95	$104.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $81.28 / $109.65	Facility		$54.95	$81.28	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $154.88	Professional		$54.95	$54.95	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $114.82	Facility		$54.95	$54.95	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $67.61	Professional		$54.95	$54.95	$67.61