Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.33 / $131.59 / $343.29	Facility		$70.33	$131.59	$343.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.80 / $70.33 / $95.30	Professional		$64.80	$70.33	$95.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.40 / $102.41 / $343.29	Facility		$90.40	$102.41	$343.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.95 / $23.21 / $59.00	Professional		$14.95	$23.21	$59.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.43 / $143.04 / $2,524.04	Facility		$114.43	$143.04	$2,524.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $125.87 / $154.47	Professional		$114.43	$125.87	$154.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.38 / $85.77 / $191.22	Facility		$74.38	$85.77	$191.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.05 / $131.75 / $164.68	Professional		$105.05	$131.75	$164.68
United Facility/Professional Professional Modifier Low / Median / High Price $36.02 / $52.42 / $85.77	Professional		$36.02	$52.42	$85.77