Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $186.21 / $14,125.38	Facility		$75.86	$186.21	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $75.86 / $109.65	Professional		$74.13	$75.86	$109.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $112.20 / $165.96	Facility		$89.13	$112.20	$165.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $112.20	Professional		$74.13	$74.13	$112.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $112.20	Facility		$75.86	$75.86	$112.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $117.49	Professional		$75.86	$75.86	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $234.42	Facility		$74.13	$74.13	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $93.33	Professional		$74.13	$74.13	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $151.36	Facility		$75.86	$75.86	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $79.43 / $85.11	Professional		$74.13	$79.43	$85.11