Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $117.49 / $257.04	Facility		$56.23	$117.49	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $67.61	Professional		$56.23	$56.23	$67.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $85.11 / $123.03	Facility		$66.07	$85.11	$123.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $85.11	Professional		$56.23	$56.23	$85.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $66.07 / $100.00	Facility		$54.95	$66.07	$100.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $70.79	Facility		$56.23	$56.23	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $63.10	Professional		$56.23	$56.23	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $109.65	Facility		$54.95	$54.95	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $58.88 / $63.10	Professional		$56.23	$58.88	$63.10