Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.96 / $98.16 / $200.38	Facility		$33.96	$98.16	$200.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.40 / $98.16 / $127.60	Professional		$73.40	$98.16	$127.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.16 / $196.32 / $260.12	Facility		$98.16	$196.32	$260.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.75 / $87.95 / $124.88	Professional		$74.75	$87.95	$124.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $98.16 / $98.16 / $132.52	Facility		$98.16	$98.16	$132.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $98.16 / $112.88	Professional		$98.16	$98.16	$112.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Facility		$96.58	$96.58	$96.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $96.58 / $225.94	Professional		$68.86	$96.58	$225.94
United Facility/Professional Professional Modifier Low / Median / High Price $86.23 / $93.99 / $103.48	Professional		$86.23	$93.99	$103.48