Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.73 / $2,366.78 / $14,375.69	Facility		$74.73	$2,366.78	$14,375.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $90.24 / $90.24	Professional		$89.34	$90.24	$90.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.34 / $178.68 / $236.75	Facility		$89.34	$178.68	$236.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $89.34 / $126.86	Professional		$75.93	$89.34	$126.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.34 / $89.34 / $133.12	Facility		$89.34	$89.34	$133.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $102.74	Professional		$89.34	$89.34	$102.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.34 / $89.34 / $89.34	Facility		$89.34	$89.34	$89.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.64 / $89.34 / $135.16	Professional		$85.64	$89.34	$135.16
United Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $99.45 / $119.34	Professional		$89.34	$99.45	$119.34