Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.38 / $86.38 / $146.85	Facility		$86.38	$86.38	$146.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.37 / $86.38 / $129.19	Professional		$86.37	$86.38	$129.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.79 / $101.86 / $172.76	Facility		$97.79	$101.86	$172.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $86.38 / $86.38	Professional		$73.42	$86.38	$86.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.38 / $93.86 / $138.21	Facility		$86.38	$93.86	$138.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $95.02 / $133.03	Professional		$86.38	$95.02	$133.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.38 / $86.38 / $397.80	Facility		$86.38	$86.38	$397.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $347.28 / $546.00	Professional		$86.38	$347.28	$546.00
United Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $86.38 / $86.38	Professional		$86.38	$86.38	$86.38