Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.74 / $121.63 / $448.83	Facility		$99.74	$121.63	$448.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.27 / $99.74 / $115.55	Professional		$87.27	$99.74	$115.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.09 / $109.47 / $364.89	Facility		$96.09	$109.47	$364.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.06 / $60.06 / $81.08	Professional		$60.06	$60.06	$81.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $121.63 / $158.12 / $170.28	Facility		$121.63	$158.12	$170.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $121.63 / $145.96 / $182.45	Professional		$121.63	$145.96	$182.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.60 / $121.63 / $314.42	Facility		$97.60	$121.63	$314.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $81.84 / $192.45	Professional		$72.70	$81.84	$192.45
United Facility/Professional Professional Modifier Low / Median / High Price $51.08 / $72.98 / $133.66	Professional		$51.08	$72.98	$133.66