Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.41 / $279.68 / $409.92	Facility		$62.41	$279.68	$409.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $62.40 / $62.41	Professional		$61.80	$62.40	$62.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.80 / $123.60 / $163.77	Facility		$61.80	$123.60	$163.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.53 / $62.15 / $88.25	Professional		$52.53	$62.15	$88.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.80 / $61.80 / $92.70	Facility		$61.80	$61.80	$92.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $77.25	Professional		$61.80	$61.80	$77.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.80 / $61.80 / $61.80	Facility		$61.80	$61.80	$61.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $469.70	Professional		$61.80	$61.80	$469.70
United Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $105.06	Professional		$61.80	$61.80	$105.06