Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.26 / $156.91 / $404.24	Facility		$65.26	$156.91	$404.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $65.26 / $75.05	Professional		$64.62	$65.26	$75.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.84 / $129.24 / $193.86	Facility		$67.84	$129.24	$193.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.92 / $64.62 / $91.76	Professional		$54.92	$64.62	$91.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.62 / $64.62 / $96.93	Facility		$64.62	$64.62	$96.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $80.78	Professional		$64.62	$64.62	$80.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.62 / $64.62 / $64.62	Facility		$64.62	$64.62	$64.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $179.80	Professional		$64.62	$64.62	$179.80
United Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $107.66	Professional		$64.62	$64.62	$107.66