Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $154.88 / $338.84	Facility		$74.13	$154.88	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $74.13 / $87.10	Professional		$72.44	$74.13	$87.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $109.65 / $162.18	Facility		$87.10	$109.65	$162.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $109.65	Professional		$74.13	$74.13	$109.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $89.13 / $131.83	Facility		$74.13	$89.13	$131.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $91.20	Facility		$74.13	$74.13	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $83.18	Professional		$74.13	$74.13	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $141.25	Facility		$74.13	$74.13	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $77.62 / $83.18	Professional		$74.13	$77.62	$83.18