Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.62 / $64.62 / $109.85	Facility		$64.62	$64.62	$109.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $75.05	Professional		$64.62	$64.62	$75.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.15 / $76.20 / $76.25	Facility		$73.15	$76.20	$76.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.92 / $64.62 / $64.62	Professional		$54.92	$64.62	$64.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.62 / $70.30 / $103.39	Facility		$64.62	$70.30	$103.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $71.08 / $99.51	Professional		$64.62	$71.08	$99.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.62 / $64.62 / $86.22	Facility		$64.62	$64.62	$86.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $75.23 / $131.68	Professional		$64.62	$75.23	$131.68
United Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $64.62	Professional		$64.62	$64.62	$64.62