Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.61 / $318.45 / $1,303.20	Facility		$53.61	$318.45	$1,303.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.61 / $53.61	Professional		$53.08	$53.61	$53.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.08 / $106.16 / $140.66	Facility		$53.08	$106.16	$140.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.11 / $53.08 / $75.37	Professional		$45.11	$53.08	$75.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.08 / $53.08 / $79.62	Facility		$53.08	$53.08	$79.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $61.04	Professional		$53.08	$53.08	$61.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.49 / $47.49 / $47.49	Facility		$47.49	$47.49	$47.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.49 / $47.49 / $130.60	Professional		$47.49	$47.49	$130.60
United Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $66.38	Professional		$53.08	$53.08	$66.38