Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $79.43 / $79.43	Facility		$77.62	$79.43	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $81.28	Professional		$77.62	$77.62	$81.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $288.40 / $512.86	Facility		$125.89	$288.40	$512.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $125.89	Professional		$77.62	$77.62	$125.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $117.49 / $154.88	Facility		$77.62	$117.49	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $97.72 / $125.89	Professional		$77.62	$97.72	$125.89