Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.43 / $205.27 / $374.36	Facility		$70.43	$205.27	$374.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $70.43 / $86.49	Professional		$69.73	$70.43	$86.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.22 / $139.46 / $209.19	Facility		$73.22	$139.46	$209.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.27 / $69.73 / $96.22	Professional		$59.27	$69.73	$96.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.73 / $69.73 / $104.60	Facility		$69.73	$69.73	$104.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $69.73 / $83.68	Professional		$69.73	$69.73	$83.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.73 / $69.73 / $69.73	Facility		$69.73	$69.73	$69.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $81.00 / $137.72	Professional		$69.73	$81.00	$137.72
United Facility/Professional Professional Modifier Low / Median / High Price $27.89 / $69.73 / $104.60	Professional		$27.89	$69.73	$104.60