Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.10 / $56.10 / $95.37	Facility		$56.10	$56.10	$95.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $57.43	Professional		$56.10	$56.10	$57.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.52 / $66.16 / $112.20	Facility		$63.52	$66.16	$112.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.68 / $56.10 / $56.10	Professional		$47.68	$56.10	$56.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.10 / $60.80 / $91.89	Facility		$56.10	$60.80	$91.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $58.91 / $78.54	Professional		$56.10	$58.91	$78.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.10 / $56.10 / $61.66	Facility		$56.10	$56.10	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.35 / $56.10 / $99.18	Professional		$47.35	$56.10	$99.18
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 / $56.10	Professional		$56.10	$56.10	$56.10