Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.40 / $81.40 / $81.40	Facility		$81.40	$81.40	$81.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.35 / $56.07 / $81.40	Professional		$30.35	$56.07	$81.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.19 / $39.19 / $75.64	Facility		$39.19	$39.19	$75.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.19 / $39.19 / $62.09	Professional		$39.19	$39.19	$62.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.02 / $123.53 / $187.90	Facility		$95.02	$123.53	$187.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.77 / $114.02 / $142.53	Professional		$99.77	$114.02	$142.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $38.77 / $97.47	Professional		$38.77	$38.77	$97.47
United Facility/Professional Professional Modifier Low / Median / High Price $26.86 / $47.40 / $68.58	Professional		$26.86	$47.40	$68.58