Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $207.29 / $30,097.92	Facility		$75.97	$207.29	$30,097.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.93 / $90.26	Professional		$75.22	$75.93	$90.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.22 / $150.44 / $182.03	Facility		$75.22	$150.44	$182.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.22 / $103.80	Professional		$75.22	$75.22	$103.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.22 / $75.93 / $112.83	Facility		$75.22	$75.93	$112.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.22 / $94.03	Professional		$75.22	$75.22	$94.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.22 / $75.22 / $234.73	Facility		$75.22	$75.22	$234.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.22 / $93.93	Professional		$75.22	$75.22	$93.93
United Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $80.56 / $96.30	Professional		$75.22	$80.56	$96.30