Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.40 / $221.57 / $374.63	Facility		$83.40	$221.57	$374.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.58 / $83.40 / $124.00	Professional		$82.58	$83.40	$124.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.71 / $165.16 / $247.74	Facility		$86.71	$165.16	$247.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.19 / $82.58 / $117.26	Professional		$70.19	$82.58	$117.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.58 / $82.58 / $117.41	Facility		$82.58	$82.58	$117.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $82.58 / $82.58 / $94.97	Professional		$82.58	$82.58	$94.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.57 / $82.57 / $82.57	Facility		$82.57	$82.57	$82.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.77 / $82.57 / $220.39	Professional		$81.77	$82.57	$220.39
United Facility/Professional Professional Modifier Low / Median / High Price $82.58 / $82.58 / $110.31	Professional		$82.58	$82.58	$110.31