Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.26 / $79.26 / $134.74	Facility		$79.26	$79.26	$134.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $79.26 / $79.39	Professional		$79.26	$79.26	$79.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.72 / $93.46 / $158.52	Facility		$89.72	$93.46	$158.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.37 / $79.26 / $79.26	Professional		$67.37	$79.26	$79.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.26 / $86.11 / $126.82	Facility		$79.26	$86.11	$126.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $87.19 / $122.06	Professional		$79.26	$87.19	$122.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.75 / $79.26 / $79.26	Facility		$77.75	$79.26	$79.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $145.76 / $145.76	Professional		$79.26	$145.76	$145.76
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 / $79.26	Professional		$79.26	$79.26	$79.26