Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $204.17 / $363.08	Facility		$123.03	$204.17	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $151.36	Professional		$100.00	$120.23	$151.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $151.36 / $158.49	Facility		$125.89	$151.36	$158.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $102.33	Professional		$60.26	$60.26	$102.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $208.93 / $288.40	Facility		$151.36	$208.93	$288.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $194.98 / $245.47	Professional		$162.18	$194.98	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $891.25 / $891.25	Facility		$97.72	$891.25	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $724.44 / $724.44	Professional		$69.18	$724.44	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $91.20 / $151.36	Professional		$63.10	$91.20	$151.36