Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $112.20 / $239.88	Facility		$53.70	$112.20	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $63.10	Professional		$52.48	$52.48	$63.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $79.43 / $117.49	Facility		$63.10	$79.43	$117.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $79.43	Professional		$53.70	$53.70	$79.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $63.10 / $95.50	Facility		$52.48	$63.10	$95.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $66.07	Facility		$53.70	$53.70	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $60.26	Professional		$53.70	$53.70	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $102.33	Facility		$52.48	$52.48	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $56.23 / $58.88	Professional		$53.70	$56.23	$58.88