Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.17 / $69.17 / $69.17	Facility		$69.17	$69.17	$69.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $68.48 / $69.17	Professional		$68.48	$68.48	$69.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $68.48 / $132.19	Facility		$68.48	$68.48	$132.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $68.48 / $97.25	Professional		$68.48	$68.48	$97.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $68.48 / $102.74	Facility		$68.48	$68.48	$102.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $68.48 / $78.76	Professional		$68.48	$68.48	$78.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $68.48 / $68.48	Facility		$68.48	$68.48	$68.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $68.48 / $75.13	Professional		$68.48	$68.48	$75.13
United Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $68.48 / $73.34	Professional		$68.48	$68.48	$73.34