Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.01 / $174.07 / $438.93	Facility		$64.01	$174.07	$438.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.69 / $79.86 / $83.06	Professional		$76.69	$79.86	$83.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.86 / $159.72 / $193.26	Facility		$79.86	$159.72	$193.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $79.86 / $110.20	Professional		$79.86	$79.86	$110.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.86 / $79.86 / $119.79	Facility		$79.86	$79.86	$119.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $79.86 / $99.83	Professional		$79.86	$79.86	$99.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.86 / $79.86 / $97.19	Facility		$79.86	$79.86	$97.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $79.86 / $155.84	Professional		$79.86	$79.86	$155.84
United Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $85.53 / $106.68	Professional		$79.86	$85.53	$106.68