Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.31 / $213.58 / $325.70	Facility		$67.31	$213.58	$325.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $67.31 / $71.66	Professional		$66.64	$67.31	$71.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.64 / $133.28 / $176.60	Facility		$66.64	$133.28	$176.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.64 / $66.64 / $94.62	Professional		$56.64	$66.64	$94.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.64 / $66.64 / $99.96	Facility		$66.64	$66.64	$99.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $66.64 / $83.30	Professional		$66.64	$66.64	$83.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.64 / $66.64 / $66.64	Facility		$66.64	$66.64	$66.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $66.64 / $249.62	Professional		$51.29	$66.64	$249.62
United Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $74.64 / $89.50	Professional		$66.64	$74.64	$89.50