Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.78 / $126.94 / $228.51	Facility		$50.78	$126.94	$228.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.78 / $50.78 / $50.78	Professional		$50.78	$50.78	$50.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.53 / $105.78 / $158.66	Facility		$55.53	$105.78	$158.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.68 / $47.86 / $64.61	Professional		$40.68	$47.86	$64.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.62 / $32.96 / $101.55	Facility		$22.62	$32.96	$101.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.35 / $30.42 / $38.03	Professional		$25.35	$30.42	$38.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.95 / $53.95 / $53.95	Facility		$53.95	$53.95	$53.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $53.95 / $148.36	Professional		$47.86	$53.95	$148.36
United Facility/Professional Professional Modifier Low / Median / High Price $52.89 / $52.89 / $65.58	Professional		$52.89	$52.89	$65.58