Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.78 / $187.06 / $527.57	Facility		$75.78	$187.06	$527.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $75.78 / $92.18	Professional		$75.03	$75.78	$92.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.02 / $150.04 / $181.57	Facility		$75.02	$150.04	$181.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $75.03 / $103.54	Professional		$75.03	$75.03	$103.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.03 / $76.18 / $112.55	Facility		$75.03	$76.18	$112.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $75.03 / $93.79	Professional		$75.03	$75.03	$93.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.02 / $75.02 / $100.17	Facility		$75.02	$75.02	$100.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.02 / $75.02 / $94.79	Professional		$75.02	$75.02	$94.79
United Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $83.52 / $112.27	Professional		$75.03	$83.52	$112.27