Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.16 / $75.91 / $129.05	Facility		$73.16	$75.91	$129.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.90 / $75.91 / $95.64	Professional		$73.90	$75.91	$95.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.93 / $89.51 / $151.82	Facility		$85.93	$89.51	$151.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.52 / $75.91 / $75.91	Professional		$64.52	$75.91	$75.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.91 / $83.50 / $121.46	Facility		$75.91	$83.50	$121.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $79.70 / $116.10	Professional		$75.91	$79.70	$116.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.91 / $75.91 / $85.00	Facility		$75.91	$75.91	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.73 / $75.91 / $129.58	Professional		$48.73	$75.91	$129.58
United Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $75.91 / $75.91	Professional		$75.91	$75.91	$75.91