Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.73 / $183.67 / $567.25	Facility		$82.73	$183.67	$567.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $82.08 / $90.28	Professional		$82.08	$82.08	$90.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.07 / $164.14 / $198.63	Facility		$82.07	$164.14	$198.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $82.08 / $113.27	Professional		$82.08	$82.08	$113.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.08 / $82.08 / $123.12	Facility		$82.08	$82.08	$123.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $82.08 / $102.60	Professional		$82.08	$82.08	$102.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.98 / $82.07 / $82.07	Facility		$78.98	$82.07	$82.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.07 / $82.07 / $92.92	Professional		$82.07	$82.07	$92.92
United Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $87.00 / $92.68	Professional		$82.08	$87.00	$92.68