Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.81 / $204.67 / $395.15	Facility		$87.81	$204.67	$395.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $88.16 / $88.16	Professional		$87.28	$88.16	$88.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.28 / $174.56 / $231.29	Facility		$87.28	$174.56	$231.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.18 / $87.28 / $123.93	Professional		$74.18	$87.28	$123.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.28 / $87.28 / $124.51	Facility		$87.28	$87.28	$124.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $87.28 / $109.10	Professional		$87.28	$87.28	$109.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.28 / $87.28 / $87.28	Facility		$87.28	$87.28	$87.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $87.28 / $239.22	Professional		$82.00	$87.28	$239.22
United Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $87.28 / $108.23	Professional		$87.28	$87.28	$108.23