Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $123.03 / $165.96	Professional		$107.15	$123.03	$165.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $269.15	Facility		$141.25	$141.25	$269.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $141.25 / $229.09	Professional		$128.82	$141.25	$229.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $91.20 / $131.83	Facility		$37.15	$91.20	$131.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $177.83 / $263.03	Professional		$60.26	$177.83	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $77.62 / $107.15	Facility		$30.20	$77.62	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $144.54 / $208.93	Professional		$117.49	$144.54	$208.93