Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.64 / $118.99 / $392.52	Facility		$55.64	$118.99	$392.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $56.20 / $66.66	Professional		$55.65	$56.20	$66.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.65 / $111.30 / $134.66	Facility		$55.65	$111.30	$134.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $55.65 / $76.79	Professional		$55.65	$55.65	$76.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.09 / $55.65 / $83.48	Facility		$55.09	$55.65	$83.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $55.65 / $69.56	Professional		$55.65	$55.65	$69.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.65 / $55.65 / $67.56	Facility		$55.65	$55.65	$67.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $55.65 / $63.00	Professional		$55.65	$55.65	$63.00
United Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $58.99 / $66.22	Professional		$55.65	$58.99	$66.22