Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.27 / $72.27 / $72.27	Facility		$72.27	$72.27	$72.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $72.27	Professional		$71.55	$71.55	$72.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.55 / $71.55 / $138.09	Facility		$71.55	$71.55	$138.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $101.60	Professional		$71.55	$71.55	$101.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $71.55 / $71.55 / $107.33	Facility		$71.55	$71.55	$107.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $85.86	Professional		$71.55	$71.55	$85.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.55 / $71.55 / $71.55	Facility		$71.55	$71.55	$71.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $74.25	Professional		$71.55	$71.55	$74.25
United Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $85.86	Professional		$71.55	$71.55	$85.86