Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.68 / $98.16 / $200.38	Facility		$51.68	$98.16	$200.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $98.15 / $98.16	Professional		$63.75	$98.15	$98.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.76 / $196.32 / $260.12	Facility		$92.76	$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 $40.04 / $96.58 / $225.94	Professional		$40.04	$96.58	$225.94
United Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $103.33 / $118.87	Professional		$98.16	$103.33	$118.87