Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.86 / $73.86 / $73.86	Facility		$73.86	$73.86	$73.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.65 / $76.84 / $95.26	Professional		$68.65	$76.84	$95.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.20 / $205.38 / $326.56	Facility		$169.20	$205.38	$326.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.88 / $169.20 / $240.26	Professional		$157.88	$169.20	$240.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.11 / $60.57 / $110.03	Facility		$32.11	$60.57	$110.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.43 / $52.30 / $110.03	Professional		$28.43	$52.30	$110.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.72 / $91.72 / $91.72	Facility		$91.72	$91.72	$91.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.22 / $132.03 / $255.81	Professional		$72.22	$132.03	$255.81
United Facility/Professional Professional Modifier Low / Median / High Price $129.16 / $166.75 / $277.80	Professional		$129.16	$166.75	$277.80