Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.87 / $50.87 / $102.77	Facility		$50.87	$50.87	$102.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.91 / $52.82 / $55.76	Professional		$48.91	$52.82	$55.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.19 / $91.98 / $102.77	Facility		$81.19	$91.98	$102.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.14 / $59.92 / $82.68	Professional		$50.14	$59.92	$82.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.35 / $113.05 / $154.16	Facility		$87.35	$113.05	$154.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.35 / $113.05 / $138.74	Professional		$87.35	$113.05	$138.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.48 / $61.48 / $102.77	Facility		$61.48	$61.48	$102.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $61.48 / $92.64	Professional		$44.88	$61.48	$92.64
United Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $29.60 / $29.60	Facility		$29.60	$29.60	$29.60
United Facility/Professional Professional Modifier Low / Median / High Price $32.72 / $51.27 / $73.86	Professional		$32.72	$51.27	$73.86