Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.43 / $49.43 / $99.86	Facility		$49.43	$49.43	$99.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $51.05 / $54.18	Professional		$47.53	$51.05	$54.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.89 / $89.37 / $99.86	Facility		$78.89	$89.37	$99.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.73 / $52.51 / $72.45	Professional		$48.73	$52.51	$72.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.56 / $109.85 / $149.79	Facility		$83.56	$109.85	$149.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $84.88 / $109.85 / $134.81	Professional		$84.88	$109.85	$134.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.62 / $64.62 / $99.86	Facility		$64.62	$64.62	$99.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.17 / $64.62 / $96.02	Professional		$47.17	$64.62	$96.02
United Facility/Professional Professional Modifier Low / Median / High Price $29.03 / $48.35 / $66.73	Professional		$29.03	$48.35	$66.73