Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.28 / $168.86 / $509.36	Facility		$74.28	$168.86	$509.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $81.33	Professional		$73.94	$73.94	$81.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.93 / $147.86 / $178.93	Facility		$73.93	$147.86	$178.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $102.03	Professional		$73.94	$73.94	$102.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.94 / $73.94 / $110.91	Facility		$73.94	$73.94	$110.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $92.43	Professional		$73.94	$73.94	$92.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.94 / $73.94 / $85.00	Facility		$73.94	$73.94	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $83.70	Professional		$73.94	$73.94	$83.70
United Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $78.38 / $83.83	Professional		$73.94	$78.38	$83.83