Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.45 / $116.16 / $332.41	Facility		$48.45	$116.16	$332.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $48.45 / $52.77	Professional		$47.97	$48.45	$52.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.97 / $95.94 / $116.09	Facility		$47.97	$95.94	$116.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $66.19	Professional		$47.97	$47.97	$66.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.97 / $47.97 / $71.95	Facility		$47.97	$47.97	$71.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $59.96	Professional		$47.97	$47.97	$59.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.97 / $47.97 / $47.97	Facility		$47.97	$47.97	$47.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $54.53	Professional		$47.97	$47.97	$54.53
United Facility/Professional Facility Modifier Low / Median / High Price $79.58 / $96.46 / $96.46	Facility		$79.58	$96.46	$96.46
United Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $55.00	Professional		$47.97	$47.97	$55.00