Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.58 / $197.26 / $371.34	Facility		$79.58	$197.26	$371.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $79.58 / $81.70	Professional		$78.80	$79.58	$81.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.80 / $157.60 / $208.82	Facility		$78.80	$157.60	$208.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.98 / $78.80 / $111.89	Professional		$66.98	$78.80	$111.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.80 / $78.80 / $106.38	Facility		$78.80	$78.80	$106.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $78.80 / $98.50	Professional		$78.80	$78.80	$98.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.79 / $78.79 / $176.82	Facility		$78.79	$78.79	$176.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.59 / $78.79 / $226.02	Professional		$73.59	$78.79	$226.02
United Facility/Professional Facility Modifier Low / Median / High Price $78.75 / $78.75 / $78.75	Facility		$78.75	$78.75	$78.75
United Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $88.26 / $109.26	Professional		$78.80	$88.26	$109.26