Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.15 / $181.15 / $543.42	Facility		$79.15	$181.15	$543.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $78.37 / $94.04	Professional		$78.37	$78.37	$94.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.37 / $156.74 / $189.66	Facility		$78.37	$156.74	$189.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $78.37 / $108.15	Professional		$78.37	$78.37	$108.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.37 / $78.47 / $117.56	Facility		$78.37	$78.47	$117.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $78.37 / $97.96	Professional		$78.37	$78.37	$97.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.37 / $78.37 / $85.00	Facility		$78.37	$78.37	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $78.37 / $89.96	Professional		$78.37	$78.37	$89.96
United Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $83.07 / $90.76	Professional		$78.37	$83.07	$90.76