Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.61 / $332.95 / $340.25	Facility		$75.61	$332.95	$340.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $76.73 / $76.73	Professional		$75.97	$76.73	$76.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $151.94 / $201.32	Facility		$75.97	$151.94	$201.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.56 / $75.97 / $107.87	Professional		$64.56	$75.97	$107.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $75.97 / $103.23	Facility		$75.97	$75.97	$103.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $94.96	Professional		$75.97	$75.97	$94.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $75.97 / $322.33	Facility		$75.97	$75.97	$322.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $389.13	Professional		$75.97	$75.97	$389.13
United Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $151.94	Professional		$75.97	$75.97	$151.94