Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.38 / $117.88 / $143.75	Professional		$106.38	$117.88	$143.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $66.48 / $107.88	Professional		$66.48	$66.48	$107.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $143.75 / $172.50 / $201.25	Facility		$143.75	$172.50	$201.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $143.75 / $158.13 / $208.44	Professional		$143.75	$158.13	$208.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.75 / $143.75 / $143.75	Facility		$143.75	$143.75	$143.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.08 / $141.47 / $323.44	Professional		$80.08	$141.47	$323.44
United Facility/Professional Professional Modifier Low / Median / High Price $86.25 / $143.75 / $244.38	Professional		$86.25	$143.75	$244.38