Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.23 / $175.73 / $333.54	Facility		$72.23	$175.73	$333.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $72.23 / $72.23	Professional		$71.52	$72.23	$72.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.09 / $143.04 / $214.56	Facility		$75.09	$143.04	$214.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.79 / $71.52 / $101.55	Professional		$60.79	$71.52	$101.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $71.52 / $71.52 / $106.56	Facility		$71.52	$71.52	$106.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $71.52 / $82.25	Professional		$71.52	$71.52	$82.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.52 / $71.52 / $71.52	Facility		$71.52	$71.52	$71.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $71.52 / $201.36	Professional		$71.52	$71.52	$201.36
United Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $71.52 / $143.04	Professional		$71.52	$71.52	$143.04