Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.72 / $187.32 / $573.83	Facility		$82.72	$187.32	$573.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $81.90 / $90.39	Professional		$81.90	$81.90	$90.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.90 / $163.80 / $198.20	Facility		$81.90	$163.80	$198.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $81.90 / $113.02	Professional		$81.90	$81.90	$113.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.90 / $81.90 / $122.85	Facility		$81.90	$81.90	$122.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $81.90 / $102.38	Professional		$81.90	$81.90	$102.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.90 / $81.90 / $85.98	Facility		$81.90	$81.90	$85.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $81.90 / $92.72	Professional		$81.90	$81.90	$92.72
United Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $86.81 / $97.46	Professional		$81.90	$86.81	$97.46