Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.67 / $104.67 / $104.67	Facility		$100.67	$104.67	$104.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.75 / $104.67 / $131.88	Professional		$97.75	$104.67	$131.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.11 / $118.86 / $121.23	Facility		$114.11	$118.86	$121.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.68 / $100.80 / $100.80	Professional		$85.68	$100.80	$100.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.75 / $60.23 / $109.50	Facility		$54.75	$60.23	$109.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $57.49 / $84.32	Professional		$54.75	$57.49	$84.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.67 / $115.07 / $115.07	Facility		$100.67	$115.07	$115.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.98 / $115.07 / $150.41	Professional		$92.98	$115.07	$150.41
United Facility/Professional Professional Modifier Low / Median / High Price $102.74 / $121.23 / $123.14	Professional		$102.74	$121.23	$123.14