Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $125.89	Facility		$75.86	$75.86	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $114.82 / $177.83	Facility		$81.28	$114.82	$177.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $154.88	Professional		$91.20	$91.20	$154.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63,095.73 / $63,095.73 / $70,794.58	Facility		$63,095.73	$63,095.73	$70,794.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $125.89	Facility		$85.11	$85.11	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $162.18	Professional		$85.11	$85.11	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $83.18 / $95.50	Professional		$74.13	$83.18	$95.50