Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.63 / $65.63 / $111.57	Facility		$65.63	$65.63	$111.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $65.63 / $65.73	Professional		$65.63	$65.63	$65.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.29 / $77.39 / $131.26	Facility		$74.29	$77.39	$131.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.78 / $65.63 / $65.63	Professional		$55.78	$65.63	$65.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.63 / $71.36 / $105.01	Facility		$65.63	$71.36	$105.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $72.19 / $101.07	Professional		$65.63	$72.19	$101.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.63 / $65.63 / $85.00	Facility		$65.63	$65.63	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.48 / $65.63 / $121.28	Professional		$56.48	$65.63	$121.28
United Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $65.63 / $65.63	Professional		$65.63	$65.63	$65.63