Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $69.18 / $97.72	Professional		$56.23	$69.18	$97.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $144.54 / $181.97	Facility		$69.18	$144.54	$181.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $69.18 / $125.89	Professional		$67.61	$69.18	$125.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $144.54 / $173.78	Facility		$114.82	$144.54	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $144.54	Facility		$91.20	$91.20	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $123.03	Professional		$67.61	$67.61	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $79.43 / $112.20	Facility		$44.67	$79.43	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $66.07 / $95.50	Professional		$38.02	$66.07	$95.50