Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.53 / $156.29 / $497.61	Facility		$70.53	$156.29	$497.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $71.37 / $84.51	Professional		$71.37	$71.37	$84.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.37 / $142.74 / $172.72	Facility		$71.37	$142.74	$172.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $71.37 / $98.49	Professional		$71.37	$71.37	$98.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $71.37 / $71.37 / $107.06	Facility		$71.37	$71.37	$107.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $71.37 / $89.21	Professional		$71.37	$71.37	$89.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.37 / $71.37 / $84.92	Facility		$71.37	$71.37	$84.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $71.37 / $80.80	Professional		$71.37	$71.37	$80.80
United Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $75.65 / $85.64	Professional		$71.37	$75.65	$85.64