Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.61 / $241.25 / $773.67	Facility		$53.61	$241.25	$773.67
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 $55.73 / $106.16 / $159.24	Facility		$55.73	$106.16	$159.24
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 $45.90 / $45.90 / $45.90	Facility		$45.90	$45.90	$45.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.90 / $45.90 / $126.23	Professional		$45.90	$45.90	$126.23
United Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $66.38	Professional		$53.08	$53.08	$66.38