Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $66.07 / $131.83	Facility		$64.57	$66.07	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $72.44	Professional		$64.57	$64.57	$72.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $77.62 / $125.89	Facility		$74.13	$77.62	$125.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $66.07 / $66.07	Professional		$63.10	$66.07	$66.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $104.71	Facility		$66.07	$66.07	$104.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $69.18 / $91.20	Professional		$66.07	$69.18	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $95.50 / $95.50	Facility		$66.07	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $281.84 / $281.84	Professional		$66.07	$281.84	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07