Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.49 / $153.72 / $205.20	Facility		$61.49	$153.72	$205.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.49 / $61.49 / $61.49	Professional		$61.49	$61.49	$61.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.66 / $128.10 / $200.72	Facility		$73.66	$128.10	$200.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.24 / $104.00 / $140.40	Professional		$24.24	$104.00	$140.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.47 / $111.45 / $122.98	Facility		$81.47	$111.45	$122.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.33 / $65.33 / $65.33	Facility		$65.33	$65.33	$65.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.33 / $65.33 / $76.86	Professional		$65.33	$65.33	$76.86
United Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $64.05 / $85.56	Professional		$64.05	$64.05	$85.56