Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $117.49 / $218.78	Facility		$47.86	$117.49	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $47.86 / $57.54	Professional		$46.77	$47.86	$57.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $72.44 / $104.71	Facility		$56.23	$72.44	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $72.44	Professional		$47.86	$47.86	$72.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $57.54 / $87.10	Facility		$47.86	$57.54	$87.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $54.95	Professional		$47.86	$47.86	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $95.50 / $95.50	Facility		$79.43	$95.50	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $48.98	Professional		$47.86	$47.86	$48.98