Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $186.21 / $257.04	Facility		$60.26	$186.21	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $60.26 / $91.20	Professional		$30.20	$60.26	$91.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $269.15 / $354.81	Facility		$0.02	$269.15	$354.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $151.36 / $154.88	Professional		$114.82	$151.36	$154.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $128.82 / $204.17	Facility		$69.18	$128.82	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $251.19	Facility		$63.10	$100.00	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $75.86 / $169.82	Professional		$54.95	$75.86	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $154.88	Facility		$74.13	$74.13	$154.88