Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $181.97 / $436.52	Facility		$81.28	$181.97	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $97.72	Professional		$81.28	$81.28	$97.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $123.03 / $181.97	Facility		$97.72	$123.03	$181.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $131.83	Professional		$81.28	$81.28	$131.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $97.72 / $147.91	Facility		$81.28	$97.72	$147.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $107.15	Facility		$81.28	$81.28	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $95.50	Professional		$81.28	$81.28	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $125.89	Facility		$81.28	$81.28	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $87.10 / $91.20	Professional		$81.28	$87.10	$91.20