Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.49 / $86.60 / $198.79	Facility		$84.49	$86.60	$198.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.48 / $84.49 / $187.60	Professional		$84.48	$84.49	$187.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.25 / $165.66 / $248.49	Facility		$95.25	$165.66	$248.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.08 / $115.11 / $158.85	Professional		$92.08	$115.11	$158.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.47 / $89.47 / $116.31	Facility		$89.47	$89.47	$116.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.47 / $89.47 / $123.28	Professional		$89.47	$89.47	$123.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.77 / $92.77 / $92.77	Facility		$92.77	$92.77	$92.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.76 / $92.77 / $255.12	Professional		$85.76	$92.77	$255.12
United Facility/Professional Professional Modifier Low / Median / High Price $82.83 / $95.25 / $130.53	Professional		$82.83	$95.25	$130.53