Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.62 / $164.06 / $344.79	Facility		$76.62	$164.06	$344.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $76.62 / $76.62	Professional		$75.86	$76.62	$76.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $151.72 / $201.03	Facility		$75.86	$151.72	$201.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.48 / $75.86 / $107.72	Professional		$64.48	$75.86	$107.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $113.79	Facility		$75.86	$75.86	$113.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $94.83	Professional		$75.86	$75.86	$94.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $154.94	Facility		$75.86	$75.86	$154.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.77 / $75.86 / $187.99	Professional		$60.77	$75.86	$187.99
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $94.86	Professional		$75.86	$75.86	$94.86