Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.81 / $177.17 / $177.17	Facility		$73.81	$177.17	$177.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $73.81 / $73.81	Professional		$73.81	$73.81	$73.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.81 / $147.63 / $195.62	Facility		$73.81	$147.63	$195.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.62 / $74.53 / $105.83	Professional		$59.62	$74.53	$105.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.81 / $73.81 / $110.73	Facility		$73.81	$73.81	$110.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $73.81 / $92.28	Professional		$73.81	$73.81	$92.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.52 / $72.52 / $72.52	Facility		$72.52	$72.52	$72.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.52 / $72.52 / $199.43	Professional		$72.52	$72.52	$199.43
United Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $77.70 / $88.58	Professional		$73.81	$77.70	$88.58