Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.29 / $88.86 / $88.86	Facility		$81.29	$88.86	$88.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $88.86	Professional		$87.98	$87.98	$88.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.98 / $87.98 / $169.80	Facility		$87.98	$87.98	$169.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $124.93	Professional		$87.98	$87.98	$124.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.98 / $87.98 / $131.97	Facility		$87.98	$87.98	$131.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $101.18	Professional		$87.98	$87.98	$101.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.98 / $87.98 / $87.98	Facility		$87.98	$87.98	$87.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $87.98	Professional		$87.98	$87.98	$87.98
United Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $94.23	Professional		$87.98	$87.98	$94.23