Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.80 / $61.80 / $105.06	Facility		$61.80	$61.80	$105.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.79 / $61.80 / $68.65	Professional		$61.79	$61.80	$68.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.95 / $72.88 / $123.60	Facility		$69.95	$72.88	$123.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.53 / $61.80 / $61.80	Professional		$52.53	$61.80	$61.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.80 / $67.14 / $98.88	Facility		$61.80	$67.14	$98.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $67.98 / $95.17	Professional		$61.80	$67.98	$95.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.80 / $61.80 / $237.44	Facility		$61.80	$61.80	$237.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $297.56 / $297.56	Professional		$61.80	$297.56	$297.56
United Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $62.15	Professional		$61.80	$61.80	$62.15