Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.22 / $140.55 / $427.77	Facility		$100.22	$140.55	$427.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.55 / $100.22 / $116.11	Professional		$96.55	$100.22	$116.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.55 / $110.00 / $366.66	Facility		$96.55	$110.00	$366.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.36 / $60.36 / $120.18	Professional		$60.36	$60.36	$120.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $122.22 / $158.88 / $171.11	Facility		$122.22	$158.88	$171.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $122.22 / $146.66 / $183.33	Professional		$122.22	$146.66	$183.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.08 / $122.22 / $316.10	Facility		$98.08	$122.22	$316.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.68 / $114.16 / $214.37	Professional		$79.68	$114.16	$214.37
United Facility/Professional Facility Modifier Low / Median / High Price $122.22 / $122.22 / $122.22	Facility		$122.22	$122.22	$122.22
United Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $73.33 / $134.32	Professional		$51.33	$73.33	$134.32