Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.40 / $71.40 / $71.75	Facility		$71.40	$71.40	$71.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $71.75	Professional		$70.70	$70.70	$71.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $70.70 / $136.44	Facility		$70.70	$70.70	$136.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $100.39	Professional		$70.70	$70.70	$100.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $70.70 / $106.05	Facility		$70.70	$70.70	$106.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $84.84	Professional		$70.70	$70.70	$84.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $70.70 / $70.70	Facility		$70.70	$70.70	$70.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $79.68	Professional		$70.70	$70.70	$79.68
United Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $94.44	Professional		$70.70	$70.70	$94.44