Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.38 / $52.38 / $105.84	Facility		$52.38	$52.38	$105.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $54.40 / $58.64	Professional		$50.37	$54.40	$58.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.61 / $94.73 / $105.84	Facility		$83.61	$94.73	$105.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.63 / $64.12 / $86.56	Professional		$51.63	$64.12	$86.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.51 / $116.42 / $158.76	Facility		$82.51	$116.42	$158.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.96 / $116.42 / $142.88	Professional		$89.96	$116.42	$142.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.45 / $68.45 / $105.84	Facility		$68.45	$68.45	$105.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.98 / $68.45 / $108.58	Professional		$49.98	$68.45	$108.58
United Facility/Professional Facility Modifier Low / Median / High Price $169.34 / $169.34 / $169.34	Facility		$169.34	$169.34	$169.34
United Facility/Professional Professional Modifier Low / Median / High Price $35.20 / $52.80 / $77.30	Professional		$35.20	$52.80	$77.30