Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $190.55 / $346.74	Facility		$75.86	$190.55	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $79.43	Professional		$75.86	$75.86	$79.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $114.82 / $165.96	Facility		$89.13	$114.82	$165.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $147.91	Professional		$75.86	$75.86	$147.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $117.49 / $158.49	Facility		$79.43	$117.49	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $218.78	Professional		$75.86	$75.86	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $95.50	Professional		$75.86	$75.86	$95.50