Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.54 / $66.54 / $67.01	Facility		$66.54	$66.54	$67.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $65.88 / $67.01	Professional		$65.88	$65.88	$67.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.88 / $65.88 / $127.15	Facility		$65.88	$65.88	$127.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $65.88 / $93.54	Professional		$65.88	$65.88	$93.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.88 / $65.88 / $98.82	Facility		$65.88	$65.88	$98.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $65.88 / $79.06	Professional		$65.88	$65.88	$79.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.88 / $65.88 / $65.88	Facility		$65.88	$65.88	$65.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $65.88 / $153.00	Professional		$65.88	$65.88	$153.00
United Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $65.88 / $98.82	Professional		$65.88	$65.88	$98.82