Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.90 / $170.78 / $332.55	Facility		$73.90	$170.78	$332.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $76.66 / $108.80	Professional		$75.91	$76.66	$108.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.91 / $151.82 / $201.16	Facility		$75.91	$151.82	$201.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.52 / $75.91 / $107.79	Professional		$64.52	$75.91	$107.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.91 / $75.91 / $111.96	Facility		$75.91	$75.91	$111.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $75.91 / $87.30	Professional		$75.91	$75.91	$87.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.91 / $75.91 / $75.91	Facility		$75.91	$75.91	$75.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.51 / $75.91 / $195.69	Professional		$62.51	$75.91	$195.69
United Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $75.91 / $94.68	Professional		$75.91	$75.91	$94.68