Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.23 / $192.47 / $374.54	Facility		$83.23	$192.47	$374.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.23 / $83.23 / $83.23	Professional		$83.23	$83.23	$83.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.90 / $173.40 / $260.10	Facility		$91.90	$173.40	$260.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.81 / $91.90 / $130.49	Professional		$75.81	$91.90	$130.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.77 / $72.77 / $94.60	Facility		$72.77	$72.77	$94.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.77 / $72.77 / $116.43	Professional		$72.77	$72.77	$116.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.43 / $88.43 / $88.43	Facility		$88.43	$88.43	$88.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.43 / $88.43 / $243.18	Professional		$88.43	$88.43	$243.18
United Facility/Professional Professional Modifier Low / Median / High Price $86.70 / $86.70 / $107.51	Professional		$86.70	$86.70	$107.51