Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.84 / $76.84 / $80.02	Facility		$76.84	$76.84	$80.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $79.89	Professional		$76.09	$76.09	$79.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $76.09 / $146.85	Facility		$76.09	$76.09	$146.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $108.04	Professional		$76.09	$76.09	$108.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $76.09 / $114.14	Facility		$76.09	$76.09	$114.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $91.31	Professional		$76.09	$76.09	$91.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $76.09 / $76.09	Facility		$76.09	$76.09	$76.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $93.28	Professional		$76.09	$76.09	$93.28
United Facility/Professional Facility Modifier Low / Median / High Price $142.47 / $142.47 / $142.47	Facility		$142.47	$142.47	$142.47
United Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $152.18	Professional		$76.09	$76.09	$152.18