Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.34 / $407.59 / $16,411.06	Facility		$89.34	$407.59	$16,411.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $112.56	Professional		$89.34	$89.34	$112.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.15 / $105.36 / $178.68	Facility		$101.15	$105.36	$178.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $89.34 / $89.34	Professional		$75.93	$89.34	$89.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.34 / $98.27 / $142.94	Facility		$89.34	$98.27	$142.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $93.81 / $137.58	Professional		$89.34	$93.81	$137.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $89.34 / $545.53	Facility		$19.98	$89.34	$545.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $150.13 / $150.13	Professional		$89.34	$150.13	$150.13
United Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $94.70 / $99.45	Professional		$89.34	$94.70	$99.45