Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.37 / $274.10 / $585.40	Facility		$85.37	$274.10	$585.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $101.49	Professional		$84.57	$84.57	$101.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.57 / $169.14 / $204.66	Facility		$84.57	$169.14	$204.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $116.70	Professional		$84.57	$84.57	$116.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $84.57 / $84.57 / $126.86	Facility		$84.57	$84.57	$126.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $105.71	Professional		$84.57	$84.57	$105.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.57 / $84.57 / $84.57	Facility		$84.57	$84.57	$84.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $99.73	Professional		$84.57	$84.57	$99.73
United Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $89.64 / $98.61	Professional		$84.57	$89.64	$98.61