Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $89.13 / $138.04	Professional		$70.79	$89.13	$138.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $331.13	Facility		$169.82	$169.82	$331.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $263.03	Professional		$128.82	$169.82	$263.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $123.03 / $288.40	Facility		$60.26	$123.03	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $186.21 / $323.59	Professional		$128.82	$186.21	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $501.19	Facility		$489.78	$489.78	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $125.89 / $263.03	Professional		$79.43	$125.89	$263.03