Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.34 / $53.28 / $2,644.32	Facility		$49.34	$53.28	$2,644.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $53.28	Professional		$52.75	$52.75	$53.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.75 / $62.21 / $101.81	Facility		$52.75	$62.21	$101.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $74.90	Professional		$52.75	$52.75	$74.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.75 / $52.75 / $79.13	Facility		$52.75	$52.75	$79.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $63.30	Professional		$52.75	$52.75	$63.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.75 / $52.75 / $52.75	Facility		$52.75	$52.75	$52.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.07 / $52.75 / $52.75	Professional		$48.07	$52.75	$52.75
United Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $56.50	Professional		$52.75	$52.75	$56.50