Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.71 / $128.35 / $250.70	Facility		$55.71	$128.35	$250.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $55.71 / $57.91	Professional		$55.16	$55.71	$57.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.92 / $110.32 / $165.48	Facility		$57.92	$110.32	$165.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.88 / $55.16 / $76.12	Professional		$46.88	$55.16	$76.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.16 / $55.16 / $75.86	Facility		$55.16	$55.16	$75.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $55.16 / $66.19	Professional		$55.16	$55.16	$66.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.16 / $55.16 / $55.16	Facility		$55.16	$55.16	$55.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $55.16 / $147.07	Professional		$50.12	$55.16	$147.07
United Facility/Professional Facility Modifier Low / Median / High Price $88.42 / $88.42 / $88.42	Facility		$88.42	$88.42	$88.42
United Facility/Professional Professional Modifier Low / Median / High Price $22.06 / $55.16 / $57.79	Professional		$22.06	$55.16	$57.79