Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.26 / $55.26 / $248.67	Facility		$55.26	$55.26	$248.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.57 / $55.26 / $57.53	Professional		$45.57	$55.26	$57.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.31 / $57.31 / $110.61	Facility		$57.31	$57.31	$110.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $57.31 / $77.36	Professional		$48.71	$57.31	$77.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.38 / $53.38 / $58.72	Facility		$53.38	$53.38	$58.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.38 / $53.38 / $64.06	Professional		$53.38	$53.38	$64.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.22 / $49.22 / $49.22	Facility		$49.22	$49.22	$49.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.22 / $49.22 / $137.01	Professional		$49.22	$49.22	$137.01
United Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $16.22 / $21.57	Professional		$12.17	$16.22	$21.57