Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.17 / $65.67 / $154.82	Facility		$35.17	$65.67	$154.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.67 / $65.67 / $89.48	Professional		$65.67	$65.67	$89.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $129.02 / $170.95	Facility		$67.73	$129.02	$170.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.15 / $66.06 / $93.80	Professional		$56.15	$66.06	$93.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $90.38 / $90.38 / $21,899.78	Facility		$90.38	$90.38	$21,899.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.38 / $90.38 / $103.94	Professional		$90.38	$90.38	$103.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.25 / $72.25 / $72.25	Facility		$72.25	$72.25	$72.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $72.25 / $198.69	Professional		$68.86	$72.25	$198.69
United Facility/Professional Professional Modifier Low / Median / High Price $73.40 / $77.26 / $88.08	Professional		$73.40	$77.26	$88.08