Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.52 / $71.52 / $121.58	Facility		$71.52	$71.52	$121.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $71.52 / $104.07	Professional		$71.52	$71.52	$104.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.95 / $84.34 / $84.39	Facility		$80.95	$84.34	$84.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.79 / $71.52 / $71.52	Professional		$60.79	$71.52	$71.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $71.52 / $78.67 / $114.43	Facility		$71.52	$78.67	$114.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $75.09 / $110.14	Professional		$71.52	$75.09	$110.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.52 / $71.52 / $96.90	Facility		$71.52	$71.52	$96.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $82.85 / $163.27	Professional		$71.52	$82.85	$163.27
United Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $71.52 / $73.39	Professional		$71.52	$71.52	$73.39