Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.88 / $238.70 / $496.20	Facility		$68.88	$238.70	$496.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $68.20 / $81.84	Professional		$68.20	$68.20	$81.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.20 / $136.40 / $165.04	Facility		$68.20	$136.40	$165.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $68.20 / $94.11	Professional		$68.20	$68.20	$94.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.20 / $68.20 / $102.30	Facility		$68.20	$68.20	$102.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $68.20 / $85.25	Professional		$68.20	$68.20	$85.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.20 / $68.20 / $218.79	Facility		$68.20	$68.20	$218.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $68.20 / $113.40	Professional		$68.20	$68.20	$113.40
United Facility/Professional Facility Modifier Low / Median / High Price $98.22 / $119.06 / $119.06	Facility		$98.22	$119.06	$119.06
United Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $72.29 / $91.10	Professional		$68.20	$72.29	$91.10