Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.89 / $49.89 / $100.82	Facility		$49.89	$49.89	$100.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.04 / $49.89 / $54.15	Professional		$42.04	$49.89	$54.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.65 / $90.23 / $100.82	Facility		$79.65	$90.23	$100.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.27 / $45.98 / $63.45	Professional		$44.27	$45.98	$63.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.62 / $110.90 / $141.15	Facility		$75.62	$110.90	$141.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.70 / $110.90 / $136.11	Professional		$85.70	$110.90	$136.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.20 / $65.20 / $100.82	Facility		$65.20	$65.20	$100.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $65.20 / $92.83	Professional		$47.60	$65.20	$92.83
United Facility/Professional Professional Modifier Low / Median / High Price $25.15 / $46.50 / $66.67	Professional		$25.15	$46.50	$66.67