Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.24 / $325.89 / $724.25	Facility		$90.24	$325.89	$724.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $113.47	Professional		$89.34	$89.34	$113.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.34 / $178.68 / $216.20	Facility		$89.34	$178.68	$216.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $123.28	Professional		$89.34	$89.34	$123.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.34 / $89.34 / $134.01	Facility		$89.34	$89.34	$134.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $111.68	Professional		$89.34	$89.34	$111.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.34 / $89.34 / $137.66	Facility		$89.34	$89.34	$137.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $145.63	Professional		$89.34	$89.34	$145.63
United Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $94.70 / $114.37	Professional		$89.34	$94.70	$114.37