Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.27 / $97.08 / $289.82	Facility		$42.27	$97.08	$289.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.15 / $42.16 / $50.64	Professional		$42.15	$42.16	$50.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.16 / $84.32 / $102.03	Facility		$42.16	$84.32	$102.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $42.16 / $58.18	Professional		$42.16	$42.16	$58.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.85 / $42.16 / $63.24	Facility		$41.85	$42.16	$63.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $42.16 / $52.70	Professional		$42.16	$42.16	$52.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.16 / $42.16 / $53.26	Facility		$42.16	$42.16	$53.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $42.16 / $47.73	Professional		$42.16	$42.16	$47.73
United Facility/Professional Facility Modifier Low / Median / High Price $67.83 / $82.22 / $82.22	Facility		$67.83	$82.22	$82.22
United Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $44.69 / $47.68	Professional		$42.16	$44.69	$47.68