Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.74 / $163.00 / $620.50	Facility		$86.74	$163.00	$620.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $120.00 / $124.85	Professional		$80.00	$120.00	$124.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $90.00 / $300.00	Facility		$79.00	$90.00	$300.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.89 / $34.89 / $60.50	Professional		$34.89	$34.89	$60.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $110.00 / $140.00	Facility		$100.00	$110.00	$140.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $105.00 / $135.00	Professional		$65.00	$105.00	$135.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $100.00 / $232.25	Facility		$65.00	$100.00	$232.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.90 / $90.13 / $143.52	Professional		$43.90	$90.13	$143.52
United Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $52.33 / $87.22	Professional		$39.29	$52.33	$87.22