Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.25 / $133.97 / $252.18	Facility		$55.25	$133.97	$252.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $55.25 / $55.48	Professional		$54.71	$55.25	$55.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.71 / $109.42 / $144.97	Facility		$54.71	$109.42	$144.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.50 / $54.71 / $77.68	Professional		$46.50	$54.71	$77.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.71 / $54.71 / $73.86	Facility		$54.71	$54.71	$73.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $68.39	Professional		$54.71	$54.71	$68.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.71 / $54.71 / $54.71	Facility		$54.71	$54.71	$54.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $153.51	Professional		$54.71	$54.71	$153.51
United Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $93.01	Professional		$54.71	$54.71	$93.01