Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.25 / $329.14 / $414.09	Facility		$87.25	$329.14	$414.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $87.25 / $91.11	Professional		$86.38	$87.25	$91.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.38 / $172.76 / $228.91	Facility		$86.38	$172.76	$228.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $86.38 / $122.65	Professional		$73.42	$86.38	$122.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.38 / $86.38 / $129.57	Facility		$86.38	$86.38	$129.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $86.38 / $107.98	Professional		$86.38	$86.38	$107.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.38 / $86.38 / $86.38	Facility		$86.38	$86.38	$86.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $86.38 / $377.14	Professional		$86.38	$86.38	$377.14
United Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $86.38 / $146.85	Professional		$86.38	$86.38	$146.85