Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.95 / $115.70 / $349.38	Facility		$50.95	$115.70	$349.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $52.49 / $60.88	Professional		$52.49	$52.49	$60.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.49 / $104.98 / $127.03	Facility		$52.49	$104.98	$127.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $52.49 / $72.43	Professional		$52.49	$52.49	$72.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.49 / $52.49 / $78.73	Facility		$52.49	$52.49	$78.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $52.49 / $65.61	Professional		$52.49	$52.49	$65.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.49 / $52.49 / $52.96	Facility		$52.49	$52.49	$52.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $52.49 / $59.42	Professional		$52.49	$52.49	$59.42
United Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $55.64 / $63.51	Professional		$52.49	$55.64	$63.51