Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.56 / $186.60 / $367.02	Facility		$81.56	$186.60	$367.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $81.72 / $81.72	Professional		$80.91	$81.72	$81.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.91 / $161.82 / $214.41	Facility		$80.91	$161.82	$214.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.77 / $80.91 / $114.89	Professional		$68.77	$80.91	$114.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $80.91 / $80.91 / $110.42	Facility		$80.91	$80.91	$110.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $80.91 / $101.14	Professional		$80.91	$80.91	$101.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.91 / $80.91 / $80.91	Facility		$80.91	$80.91	$80.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.50 / $80.91 / $213.81	Professional		$72.50	$80.91	$213.81
United Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $80.91 / $100.33	Professional		$80.91	$80.91	$100.33