Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.70 / $45.70 / $45.70	Facility		$45.70	$45.70	$45.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.70 / $45.70 / $46.28	Professional		$45.70	$45.70	$46.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.22 / $147.22 / $284.13	Facility		$147.22	$147.22	$284.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.22 / $147.22 / $203.16	Professional		$147.22	$147.22	$203.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $64.41 / $83.49	Facility		$64.41	$64.41	$83.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $77.29 / $96.61	Professional		$64.41	$77.29	$96.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.56 / $48.56 / $48.56	Facility		$48.56	$48.56	$48.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.56 / $48.56 / $57.13	Professional		$48.56	$48.56	$57.13
United Facility/Professional Professional Modifier Low / Median / High Price $57.13 / $57.13 / $85.70	Professional		$57.13	$57.13	$85.70