Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.53 / $53.53 / $53.53	Facility		$53.53	$53.53	$53.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $53.53	Professional		$53.00	$53.00	$53.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $53.00 / $102.29	Facility		$53.00	$53.00	$102.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $75.26	Professional		$53.00	$53.00	$75.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $53.00 / $79.50	Facility		$53.00	$53.00	$79.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $63.60	Professional		$53.00	$53.00	$63.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $53.00 / $53.00	Facility		$53.00	$53.00	$53.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $94.57	Professional		$53.00	$53.00	$94.57
United Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $90.10	Professional		$53.00	$53.00	$90.10