Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.44 / $104.44 / $104.44	Facility		$104.44	$104.44	$104.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.85 / $107.61 / $134.22	Professional		$96.85	$107.61	$134.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.45 / $305.47 / $485.30	Facility		$251.45	$305.47	$485.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.61 / $251.45 / $357.05	Professional		$216.61	$251.45	$357.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.87 / $82.89 / $325.20	Facility		$43.87	$82.89	$325.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.85 / $76.51 / $145.46	Professional		$38.85	$76.51	$145.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.11 / $130.11 / $130.11	Facility		$130.11	$130.11	$130.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.51 / $184.86 / $417.82	Professional		$102.51	$184.86	$417.82
United Facility/Professional Professional Modifier Low / Median / High Price $183.81 / $276.64 / $447.31	Professional		$183.81	$276.64	$447.31