Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.66 / $126.77 / $261.05	Facility		$56.66	$126.77	$261.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.66 / $57.43	Professional		$56.10	$56.66	$57.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.10 / $112.20 / $148.66	Facility		$56.10	$112.20	$148.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.68 / $56.10 / $79.66	Professional		$47.68	$56.10	$79.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.10 / $61.71 / $84.15	Facility		$56.10	$61.71	$84.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $61.71 / $61.71	Professional		$56.10	$61.71	$61.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.10 / $56.10 / $56.10	Facility		$56.10	$56.10	$56.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $56.10 / $145.26	Professional		$49.95	$56.10	$145.26
United Facility/Professional Facility Modifier Low / Median / High Price $56.06 / $56.06 / $56.06	Facility		$56.06	$56.06	$56.06
United Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $70.15	Professional		$56.10	$56.10	$70.15