Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.85 / $126.70 / $382.97	Facility		$55.85	$126.70	$382.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $55.47 / $61.02	Professional		$55.47	$55.47	$61.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.47 / $110.94 / $134.24	Facility		$55.47	$110.94	$134.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $55.47 / $76.54	Professional		$55.47	$55.47	$76.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.47 / $55.47 / $83.21	Facility		$55.47	$55.47	$83.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $55.47 / $69.34	Professional		$55.47	$55.47	$69.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.47 / $55.47 / $55.47	Facility		$55.47	$55.47	$55.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $55.47 / $62.80	Professional		$55.47	$55.47	$62.80
United Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $58.80 / $68.78	Professional		$55.47	$58.80	$68.78