Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.71 / $54.71 / $93.01	Facility		$54.71	$54.71	$93.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $55.48	Professional		$54.71	$54.71	$55.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.93 / $64.51 / $109.42	Facility		$61.93	$64.51	$109.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.50 / $54.71 / $54.71	Professional		$46.50	$54.71	$54.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.71 / $59.41 / $87.54	Facility		$54.71	$59.41	$87.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $60.18 / $84.25	Professional		$54.71	$60.18	$84.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.71 / $54.71 / $85.00	Facility		$54.71	$54.71	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $62.51 / $104.68	Professional		$54.71	$62.51	$104.68
United Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $55.48	Professional		$54.71	$54.71	$55.48