Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.22 / $189.79 / $356.49	Facility		$79.22	$189.79	$356.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $79.72 / $79.72	Professional		$78.93	$79.72	$79.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.93 / $157.86 / $209.16	Facility		$78.93	$157.86	$209.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $78.93 / $112.08	Professional		$67.09	$78.93	$112.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.93 / $78.93 / $113.40	Facility		$78.93	$78.93	$113.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $98.66	Professional		$78.93	$78.93	$98.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.93 / $78.93 / $78.93	Facility		$78.93	$78.93	$78.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $217.47	Professional		$78.93	$78.93	$217.47
United Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $97.87	Professional		$78.93	$78.93	$97.87