Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.78 / $41.78 / $87.79	Facility		$41.78	$41.78	$87.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.78 / $42.87 / $43.70	Professional		$41.78	$42.87	$43.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.34 / $78.56 / $87.79	Facility		$69.34	$78.56	$87.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.98 / $47.52 / $65.56	Professional		$43.98	$47.52	$65.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.20 / $96.57 / $131.69	Facility		$66.20	$96.57	$131.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.62 / $96.57 / $118.52	Professional		$74.62	$96.57	$118.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.70 / $69.70 / $87.79	Facility		$69.70	$69.70	$87.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.25 / $69.70 / $90.06	Professional		$59.25	$69.70	$90.06
United Facility/Professional Professional Modifier Low / Median / High Price $26.09 / $43.79 / $60.30	Professional		$26.09	$43.79	$60.30