Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.07 / $53.08 / $351.04	Facility		$53.07	$53.08	$351.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $53.08	Professional		$53.08	$53.08	$53.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.08 / $62.59 / $106.16	Facility		$60.08	$62.59	$106.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.11 / $53.08 / $53.08	Professional		$45.11	$53.08	$53.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.08 / $58.39 / $84.93	Facility		$53.08	$58.39	$84.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $55.73 / $81.73	Professional		$53.08	$55.73	$81.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.49 / $47.49 / $85.00	Facility		$47.49	$47.49	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.49 / $52.45 / $100.16	Professional		$47.49	$52.45	$100.16
United Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $53.08	Professional		$53.08	$53.08	$53.08