Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.19 / $48.19 / $101.25	Facility		$48.19	$48.19	$101.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.19 / $49.44 / $57.86	Professional		$48.19	$49.44	$57.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.98 / $90.62 / $101.25	Facility		$79.98	$90.62	$101.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.39 / $61.57 / $84.96	Professional		$49.39	$61.57	$84.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.06 / $111.38 / $151.88	Facility		$86.06	$111.38	$151.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $86.06 / $111.38 / $136.69	Professional		$86.06	$111.38	$136.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.22 / $66.22 / $101.25	Facility		$66.22	$66.22	$101.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.34 / $66.22 / $103.87	Professional		$48.34	$66.22	$103.87
United Facility/Professional Professional Modifier Low / Median / High Price $33.68 / $50.51 / $80.11	Professional		$33.68	$50.51	$80.11