Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.67 / $57.67 / $57.67	Facility		$57.67	$57.67	$57.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.67 / $57.67 / $57.67	Professional		$57.67	$57.67	$57.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.00 / $89.00 / $171.77	Facility		$89.00	$89.00	$171.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $89.00 / $126.38	Professional		$89.00	$89.00	$126.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $183.67 / $183.67 / $238.09	Facility		$183.67	$183.67	$238.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $183.67 / $220.40 / $275.50	Professional		$183.67	$220.40	$275.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $117.48 / $117.48	Professional		$12.86	$117.48	$117.48
United Facility/Professional Professional Modifier Low / Median / High Price $41.94 / $83.89 / $139.81	Professional		$41.94	$83.89	$139.81