Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.55 / $76.55 / $84.01	Facility		$76.55	$76.55	$84.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $83.18	Professional		$75.79	$75.79	$83.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.79 / $75.79 / $146.27	Facility		$75.79	$75.79	$146.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $107.62	Professional		$75.79	$75.79	$107.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.79 / $75.79 / $113.69	Facility		$75.79	$75.79	$113.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $90.95	Professional		$75.79	$75.79	$90.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.79 / $75.79 / $75.79	Facility		$75.79	$75.79	$75.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $131.01	Professional		$75.79	$75.79	$131.01
United Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $100.80	Professional		$75.79	$75.79	$100.80