Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.30 / $90.30 / $94.04	Facility		$90.30	$90.30	$94.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $93.12	Professional		$89.41	$89.41	$93.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.41 / $89.41 / $172.56	Facility		$89.41	$89.41	$172.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $126.96	Professional		$89.41	$89.41	$126.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.41 / $89.41 / $134.12	Facility		$89.41	$89.41	$134.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $107.29	Professional		$89.41	$89.41	$107.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.41 / $89.41 / $89.41	Facility		$89.41	$89.41	$89.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $99.41	Professional		$89.41	$89.41	$99.41
United Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $119.43	Professional		$89.41	$89.41	$119.43