Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $165.96 / $346.74	Facility		$75.86	$165.96	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $77.62	Professional		$75.86	$75.86	$77.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $114.82 / $165.96	Facility		$89.13	$114.82	$165.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $147.91	Professional		$75.86	$75.86	$147.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $114.82 / $151.36	Facility		$75.86	$114.82	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $154.88	Facility		$75.86	$75.86	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $186.21	Professional		$75.86	$75.86	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $144.54	Facility		$75.86	$75.86	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $93.33	Professional		$75.86	$75.86	$93.33