Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.05 / $184.94 / $360.81	Facility		$80.05	$184.94	$360.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $80.05 / $80.05	Professional		$79.26	$80.05	$80.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.26 / $158.52 / $210.04	Facility		$79.26	$158.52	$210.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.37 / $79.26 / $112.54	Professional		$67.37	$79.26	$112.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.26 / $79.26 / $108.05	Facility		$79.26	$79.26	$108.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $79.26 / $99.08	Professional		$79.26	$79.26	$99.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.26 / $79.26 / $179.26	Facility		$79.26	$79.26	$179.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.61 / $79.26 / $211.92	Professional		$69.61	$79.26	$211.92
United Facility/Professional Facility Modifier Low / Median / High Price $79.20 / $79.20 / $79.20	Facility		$79.20	$79.20	$79.20
United Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $79.26 / $99.11	Professional		$79.26	$79.26	$99.11